And entirely ignored seems to be the demand side of the question, why is that? Could expenses be higher than we want if we are less healthy that we should be?

And entirely ignored seems to be the demand side of the question, why is that? Could expenses be higher than we want if we are less healthy that we should be? I see a lot of unhealthy habits associated with the subsequent associated costly interventions required. Just because we see no path forward to affect demand, leaving it out of the discussion will ensure the debate is framed only as which system can provide that volume of healthcare for a little more or a little less.