Yes, that was my point. And I might add that the inefficiency (in terms of national health outcomes vs. national public and private spending) is partially the

Yes, that was my point. And I might add that the inefficiency (in terms of national health outcomes vs. national public and private spending) is partially the reason, or explanation, that U.S. is the forefront of medical technology. The U.S. spends on things that develop technology but do not contribute much to national health. Things like transplants, or cures for rare diseases, are generally not important for national health outcomes, but U.S. does a lot of work on these. You achieve low child mortality by forcing relatively simple things done for every child and family, even those who are not very receptive to care. U.S. does not do that as much as many other countries with lower spending but better national health outcomes.