Comment by macksd | Hacker News Reader

Comment by macksd | Hacker News Reader

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The same reason the US can spend what it did on the war in Aghanistan and still end up with the Taliban taking control of Kabul as they're on their way out. Total incompetence, no decent end game, and human nature in people that they just won't be able to change. Just a bunch of people lining their own pockets along the way.

If the US has a culture of people making poor decisions for their own health, exploiting systems for their own benefit, and of government bureaucracies utterly failing to achieve the ends they're supposed to achieve with no accountability (and it does), no amount of tax revenue is going to suddenly provide everyone with world-class healthcare with no concern for their own money.

I'd love to never have to deal with my insurance company again, or take diagnostics or treatments without being able to find out how much I'll have to pay. I really would. I just have zero confidence that any of that would change no matter how much more of my money gets taken by the US government.

The question then becomes, when did things start to become this way? Was this culture always a US way of thinking or was there a time when the government and people in charge did focus on the long term benefit of its citizens?

If corruption and incompetence was the path the whole time, how do you explain the US system becoming #1 in the world? Was it a fluke and that now that we have gotten 100 years of lucky wins the luck has run out and now we have the grim reality of the US system actually being trash?

You look at FDR and how close the US population supposedly almost came to eating the elites. Around that time we finally got breadcrumbs in the form of Medicare and Social Security. Now we are seeing moves to even get rid of those programs so we are left with nothing. You can't have a society where a certain percentage is playing by the rules while everyone else is picking whatever they can on the dying carcass.

> how do you explain the US system becoming #1 in the world?

The US was part of the industrial revolution, but suffered few domestic casualties (infrastructure) from either World War. The dollar becoming the world reserve currency for oil/capitalism cemented it.

(Where Russia, Continental Europe, and China were ravaged by WW2)

In addition to smileysteve's comments, I'd also question the idea that the US is the #1 system in the world. By some metrics? Yes. By other metrics? No. It seems to be a subjective argument thrown around with about as much basis behind it as the people who seem to think we have a free market healthcare system when we obviously don't. We have a weird public / private mix that's incredibly complicated, not a free market at all, and honestly I've had so many problems with debt collectors coming after me for massive bills that nobody can explain for me (all stemming from either childbirth or routine preventative care mind you, like I said I'm pretty healthy) that I consider the panic attacks I get from the process my #1 health risk. I can't imagine what it must be like for people who get cancer, though I've heard horror stories.

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