> How we spend that money is just horribly inefficient! Well, it depends on what your goal is. If it's to improve population-wide health care outcomes, then y

> How we spend that money is just horribly inefficient! Well, it depends on what your goal is. If it's to improve population-wide health care outcomes, then yes, we do a worse job than many other first world nations. If it's to allow for a, ah, "vibrant" set of industries who can benefit from capturing social spending while providing mixed outcomes which we justify by enshrining the fundamental attribution error under the banner of "meritocracy" then perhaps we're being efficient after all.