The ACA provides for people to spend no more than 10% of their income on an actuarial basis on health care up to a certain point. the biggest flaw of the ACA was that the point chosen was not high enough.

https://knoema.com/atlas/Japan/Infant-mortality-rate

Japan = 2 deaths per 1000 live births

https://www.cdc.gov/mmwr/volumes/67/wr/mm6733a7.htm

US - 5.87 infant deaths per 1000 live births

Life expectency https://www.usatoday.com/story/news/2018/07/27/life-expectancies-2018-japan-switzerland-spain/848675002/

Yes, that is true

And the US has an obesity epidemic

I totally agree with this

But we still spend a lot for poor results

But these same people you are speaking of, will they accept a system that doesn't do everything possible to save their lives when they are sick?

So what is the best solution for us to give the people what they want with as few unintended consequences as possible?

Anything else is an ivory tower exercise

Okay, and how do we achieve that in a representative democracy where people don't like being told things they do not want to hear?

Yes Ayn Rand 😉

Nice to meet you, Atlas

Lack of a healthy free open and _fair_ market, in many sectors jack up the prices. Example the insurance market is dominated by one company. AIG carries directly or re-insures ~65% of all Americans. In europe there is an open market for insurance called Lloyds of London, where insurance companies reinsure. They same can be said about front line health care service providers, and sub-suppliers. Example given. American have two producers of saline solutions. One of the had problems this spring. This resulted in FDA temporarily approve european produced saline solutions to American market. Where the market price is twice that.
If USA introduced the same single payer system that there is in my Scandinavian country, the price per capita would tripple.

Anyway I gotta go to the orthodontist for a bit. Gotta love braces at 47 years old. I hope to talk more with you 😃

Stay safe 😃

YT playlist describing some countries different health care systems
<https://www.youtube.com/playlist?list=PLkfBg8ML-gIngk82SUbTp6Og_KkYfJ6oF>

Very cool, thanks

I have when people go "look, this place does it, we can do it to". It's just like "yes, while we are at it, let's import the same population, hope the system scales well, also have only their genetics, their work ethic, and have another country support our national defense."

Too many variables, way too risky

I would like to send my municipality’s engineers to USA for a study trip, so they learn how to design car friendly intersections

I agree small stuff is easy to transplant. It is difficult to transplant whole complex systems

Car friendly intersections?

What kind of cars? Because American cars are massive

Yeah, stuff like roundabouts and clover intersections.

Those don't exist in America

What?

I'm joking

Ah.

Roundabouts are much more common in the UK, they are not common here and people here don't know what to do with them

Instead we have jug handles. Also know as turn right to go left.

We have lots of roundabouts in South Fla

Yeah,but no one knows how to drive in Florida

I was just going to say the same thing!

Wut.... Why is my phone saying that is a link?

Something as simple as placing the light signals across the intersection, instead of placing it only on the stop line. So you can not see the signal. Very dimple, but nooo, its unfriendly for bikers and pedestrians. I don’t get it.

Oh, we're working on that level.

Yeah, we have a few things that could help.