>>Your response is just another example of the defeatist attitude that most Americans have when it comes to comparisons with Scandinavian countries I am from S

>>Your response is just another example of the defeatist attitude that most Americans have when it comes to comparisons with Scandinavian countries I am from Sweden, please check so personal attacks are relevant first! I try to make this point: The Scandinavian systems do have big problems too, which isn't that publicized. I wouldn't recommend anyone to carbon copy it. Look at e.g. the German implementation instead, larger population and (from the outside) it seems to work less bad than in Sweden. See my other comments. (And yes, the US health care is uniquely fubar:ed.) Re scaling: Nothing I've ever seen says that organising big groups of people in complex endeavours (companies, societies etc) scale [sub]linearily! (Consider network effects of people. And all the differing areas/cultures. And organized crime/gangs in USA.) But sure, I am certainly no specialist. References welcome?