Sure, the American ass-in-seat mentally is not efficient. The American for-profit healthcare system is not efficient. And the American way of leaving its poorer

Sure, the American ass-in-seat mentally is not efficient. The American for-profit healthcare system is not efficient. And the American way of leaving its poorer citizens to fend for themselves instead of investing in them is not efficient. That's not an indictment of America's belief in efficiency, that's an indictment of its blind belief in the market as the best source of all solutions.