If US healthcare is optimizing for outcomes, it’s doing a poor job and maybe we should optimize for something else. Our outcomes based on relative rating does not justify the additional cost.
What do you mean by that? The population of the US is incredibly unhealthy, but that has little to do with the healthcare system and a lot more to do with consumption habits.
It has a lot more to do with food safety regulation.
Noone can be an expert in everything so everybody needs to fall back to authorities to advise or act in unknown fields. Blaming it on habits is like saying "why did you choose the doctor that botched the surgery?"
Do you not consider weight management and physical exercise part of health care? EG my insurance covers Ozempic, physical therapies, psychology of dieting, addiction...
