I would suggest "not at all". Access to American health care has jack shit in common with being able to live a healthy lifestyle. You can learn the latter from

I would suggest "not at all". Access to American health care has jack shit in common with being able to live a healthy lifestyle. You can learn the latter from personal trainers, self-help books, physical education, sports involvement, all sorts of ways. Then you summon the discipline to adhere to such a lifestyle, and there's nothing a physician can do to influence those decisions. The American health care system may be useful in cases of GSW or cardiac events or broken limbs, but people who use it exceedingly sparingly are the ones who end up enjoying health and wellness, without being inexorably steered into a pharmacy or chemotherapy. Follow the money here: look at some maps; I've found in my urban area that FQHCs open up to take Medicaid/Medicare dollars for services to the poor and vulnerable. In the affluent neighborhoods, you'll find cosmetic clinics and surgeons, along with massage, spas, and boutique concierge naturopaths and other alternative practitioners. (None of the above are proven to extend lifespans nor improve outcomes for the sick.) Don't believe me? Ask practicing physicians, who are utterly exasperated and fed up with all the patients who abused/neglected their bodies and now expect medicine to "fix them up" like the Tech Support desk. They can do nothing of the kind. Hopefully, they are compassionate and honest about those limitations.