I think it was my choice of words. By healthcare I mean the populations's effective health care which is what matters and not just the quality of the services o

I think it was my choice of words. By healthcare I mean the populations's effective health care which is what matters and not just the quality of the services offered. US ranks 46th on the life expectancy. Not saying that's a perfect metric but's a strong signal. https://www.worldometers.info/demographics/life-expectancy/ https://www.worldometers.info/demographics/life-expectancy/ - Cost-plus contracts disincentive cost-benefit value delivery. - Costly healthcare disincentive use of health services. It's a system that combines the worse of public and private healthcare systems.