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The American healthcare system is Dickensian: the best of times and the worst of times. Can it be fixed? Yes of course. We are the only advanced country extant that allows for-profit enterprises to control its healthcare system. Change the attitude towards that and progress will follow. This change though will likely occur long after our tickers and other parts have finally given up the ghost.

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Rex, wishing you well as you recover from surgery. I agree with Al’s comment above about for profit entities controlling much of our health care system. I should mention that I am steadfast capitalist. However, the for profit priority among health insurance companies caused such problems as managed care, i.e. any specialist treatment had to be approved by one’s PCP. In reality, it caused delays, more paperwork, and more stress for both physicians and patients.

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Jul 29, 2023Liked by REX SMITH

Our health care programs are on life support. Yes, a complex issue but other countries have figured out how to get good services & prescription drugs free or at a fraction of the cost we pay in the USA. Firearms, immigration and other national issues will not be solved until civility and cooperation returns to our elected leaders. btw - I had a quintuple bypass 15+ years ago. We hope your recovery will be quick and successful.

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Impressive that you managed a new column under the operative circumstances. I think of that grit as an "upstate" quality!

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