socialized healthcare please and thank you.
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It's a race to a medium. the problem is the medium is lower than rich people want, and the masses of poorer people who benefit from being lifted above amputation and a wooden leg don't appear in the cashflow as benefactors.
Getting used to a happy medium being lower than many people are used to, is hard.
Getting approved for weight loss drugs is possible in the US without a ton of work. BMI of 24 and you snore a lot? Possibly covered. High cholesterol and some extra weight? Approved.
There are some things the American healthcare system does very well. Not many, but on occasion things work.