Because Americans aren’t ready to pay for the infrastructure required to fix the problem. Partially, perhaps, because without single payer healthcare reforms do

Because Americans aren’t ready to pay for the infrastructure required to fix the problem. Partially, perhaps, because without single payer healthcare reforms don’t have huge public health benefits to offset the costs. This is one of the best things about single payer, that tons of reforms make financial sense. “Let’s spend $X hundred billion converting intersections to roundabouts and adding dividing barriers on freeways, the savings in healthcare costs will finance a big chunk of it”. Some of the infrastructure changes aren’t even political but merely engrained in how cities and services are built Example: it’s not uncommon see restaurants in the US that you have to drive to. I don’t think Americans understand how weird a (non fast food) restaurant with a parking lot outside looks to people from elsewhere.