As a South American I respectfully disagree on this. As you mentioned scale I will cite Brazil as a baseline since we’re talking about US here. Even in one of

As a South American I respectfully disagree on this. As you mentioned scale I will cite Brazil as a baseline since we’re talking about US here. Even in one of the most {corrupt, poorest} places in the world the entire infrastructure of what we know as public health care was built in a timespan of 28 years, serving a population equivalent with USA with a more pulverised population (e.g. see the demographic composition of Amazonas and Pará states).