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People who think the US health care system is the envy of the world are very badly informed. (Maybe it's the best if you're a gazillionaire? Like it's optimized for the top 5% of expensive shit, but for the other 95 meat and potatoes stuff it's just out there.)

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at the risk of being too nature vs nurture and too pessimistic about the ability to make some levels of change, I hadn't thought quite as much about athletic type being a cause and not an effect