That's all true. However it's also true in the rest of the developed world, and while almost all Western European countries have older populations than the US t

That's all true. However it's also true in the rest of the developed world, and while almost all Western European countries have older populations than the US they still manage to spend significantly less as % of GDP with much better median outcomes (of course if we only compare US as a whole, states like Massachusetts are on part or even ahead of most of Europe outcome wise but still at much higher cost)