[AstroBen]

So you're saying the US optimizes entirely for the best of the best care, without regard for what happens to the 2nd tier? (that the majority of the population actually use)

[peter422]

I think at least the median citizen in the US has very good access to the best possible care. It may or may not be affordable but you can get it.

And yes, that is what I think we optimize for.

[machomaster]

If care is not affordable and makes average people just one accident away from bankruptcy, then it might well not exist in calculations. This is akin to saying the USA is the richest country because it has more billionaires than any other country.