IMHO that's a false dichotomy. The US has the worlds most inefficient health system, which is an incredibly large budget post, most of the money going to middle

IMHO that's a false dichotomy. The US has the worlds most inefficient health system, which is an incredibly large budget post, most of the money going to middlemen. Besides, it has also benefited from open shipping lanes as much as the rest of the world, if not more.