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Paula B.'s avatar

Nothing about the climate, which is arguably the most important issue we face. Americans still have their heads in the sand and it isn't going to end well.

Marc Schloss's avatar

Why the United States spends roughly double per capita on healthcare compared to other advanced OECD $14,885 in the US vs. a wealthy nation average of ~$7,371), the primary driver is not the volume of care Americans receive, but the price they pay for it. The money goes toward funding the friction of a trillion-dollar insurance billing apparatus (waste) and satisfying the unregulated pricing power of corporate healthcare systems and drug manufacturers (profit).

Providing universal healthcare would instantly change the payee, moving the U.S. closer to the European model of higher taxes in exchange for zero out-of-pocket medical risk. However, whether it successfully reduces the astronomical "price" of American medicine depends entirely on whether the government is politically willing to legally cap corporate healthcare profits, mandate uniform pricing, and dismantle the private insurance bureaucracy.

During the 2026 midterm election cycle, political donations from the healthcare industry and pharmaceutical companies were split nearly evenly (50/50) between the Democratic and Republican parties. Historically, the pharmaceutical and healthcare manufacturing sectors have leaned significantly Republican, averaging roughly 64% of their donations to the GOP since 1990. However, the 2026 midterms saw a dramatic shift toward parity as the industry strategically hedged its bets.

In my opinion when it comes to controlling healthcare costs in United States “we may have a Congress” but we are sadly unlikely to get meaningful reform.

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