"We" don't choose. America's health care system is shaped and maintained by those who benefit economically from its configuration. Configuration maintenance to

"We" don't choose. America's health care system is shaped and maintained by those who benefit economically from its configuration. Configuration maintenance tools include lobbying, gerrymandering, targeted tax favors, and wide dissemination of misinformation. It's a very small fraction of "we" that maintains this status quo.