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Lol loving the complicated answers to this question but as an American I'll tell you that I live in an ontologically evil country that only cares that you survive long enough to reach the height of your productivity. After that you can go kick rocks/suffer death by cancer (and make sure it's on your own dime). 9 times out of 10 the US will consistently pick capital over people.

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And yet some of the best and most effective research about preventing and curing cancer happens in the US, and almost entirely with public funding. Reality is not so single-tracked and people aren’t nearly as homogenous and collaborative as you imply.

I'm curious: what's the function of the Social Security system in this worldview?

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