What do you think about this issue raised in a recent Salon article: https://www.salon.com/2023/08/05/why-america-is-going-backward-being-the-richest-nation-in-history-isnt-enough? https://www.salon.com/2023/08/05/why-america-is-going-backward-being-the-richest-nation-in-history-isnt-enough
The article makes some good points, and there’s no doubt that, for the average person, our so-called health system is an expensive nightmare, partly because it’s run by accountants for the benefit of health care executives and the profit maximization of medical supply companies and the pharmaceutical industry.
But the article misses the one critical point. What improves longevity statistics the most is improving the health and health care of the poorest segments of society. Our system improves the health of the wealthiest in society while making healthcare increasingly expensive and hard to get for the poorest segments of society, as well as for the working families. Add to that the fact that the right-wing anti-abortionists have enacted in a great number of states measures that effectively limit care for poor women who are pregnant (willingly or not) by making medical practitioners criminally liable for providing care that could save women with problematical pregnancies. Then add to that the unwanted children who seldom get adequate food and medical care, which increases the death rate and shortens their life spans, not to mention the years they can work productively.
By making healthcare a government responsibility, the European and other countries have lifted a huge financial burden off companies and individuals, and also removed the “need” for healthcare to be “profitable.” The result is that a greater percentage of the population gets “basic” health care, and wide-spread basic healthcare improves overall longevity more than does high-tech healthcare limited by cost to the upper-middle-class and upper class.