• Systems Within a System | City Journal
    Health Care

    Systems Within a System | City Journal

    The debate over American health care has a familiar structure: Sally Pipes at National Review argues that “the American health-care system is world-beating.” Sarah Kliff at Vox, by contrast, declares that “the American health care system is literally the worst.” Pipes cites access to quality medical services; Kliff points to high costs. A clear relationship holds between the availability and affordability of health care in the United States, as it does everywhere else—when you spend less, you get less. But both sides in this debate also find it easy to make their respective cases, because the “American health care system” is not one thing. Rather, it is five very different…

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