I’ll make this observation on managed healthcare....having lived in Europe. There are five countries, where national healthcare has worked, been effective, and cost was kept to a reasonable situation. But before you run off to jump all over me for suggesting this....an example....Denmark.
You cross border into Denmark and quicky notice that the speed limit is dropped down compared to neighboring countries. Get onto a secondary road? Speed limit is roughly mid-50’s. Notice that the road is just a little bit wider than a typical American road? Yeah, it’s around three feet wider, and it does make a difference.
Notice limited traffic on the highways? Yeah....because gas is roughly $8.50 a gallon. Want a license....you need to be 16, and take a pretty extensive course. Caught drinking? You actually lose that license, with no waivers offered.
Booze? If you want a bottle of Jack Daniels...prepare to pay $30 for a bottle, where it might be $14 in the states. Smokes? You pay thirty to fifty percent more for a carton of Camels. Going to a bar? The only cheap drink is beer....so you stick with that...but it’s got a fair tax attached to it as well.
Noticed folks on bikes? Yeah....most folks get around a local community or town via walking or bikes, because gas is so expensive. So there’s not a bunch of heavy folks in your neighborhood. Notice few if any fast-food restaurants? Well.....it’s true, there just aren’t that many places to stop and grab a bit to eat. Even a town of 1k people....might be lucky to have one small grill establishment.
Heavy drug usage? No. Assaults? Very few, even in Copenhagen.
So the national health care system isn’t overly used, and the cost factor is kept to a minimum. The odds of running an operation like that in the US? Zero. We just wouldn’t agree with the society rules you see in Denmark.
The Danes like to keep their residential areas cozy. That gives much more room for raising pigs.
You take the non Danish-origin population of Central Indiana, on average it's not going to be as healthy as the Danish-origin people in Central Indiana or Denmark.
Genes count.
Good points on Denmark. I was in that neck of the woods not too long ago and agree on the prices...especially Norway - where EVERYTHING is simply triple (or 4 times) US prices. And I’m not talking about a nice meal at an Oslo restaurant (although those pricing factors apply there too), I’m talking about spending $16 for a McDonald’s Quarter Pounder meal. So I went to the back-country to see if the stores there - far removed from tourists - were any cheaper. Nope - same thing, even rice and noodles starting at $2.00 lbs. for their cheapest versions. People who live there make nice money, have great government benefits, but have virtually nothing left after paying these prices.