Not much more than "Gee whiz, it's just too expensive to help anybody"
The cost of treating someone's cholecystitis in the local ER because they couldn't afford their gallbladder meds is a lot higher than just caring for that patient on the preventative side of things.
At first blush, I'm amazed at how stoopid "the smart guys" can be when it comes to understanding the basics of risk management and harm reduction and preventive medicine.
But these are not smart guys behaving stupidly - these are smart guys taking these actions (or non-actions) for reasons that just aren't as apparent to us as they should be.
So the huge extra cost of treating that gallbladder attack instead of preventing it becomes part of the scheme to capture profit by externalizing cost.
Privatized income and socialized outlay.
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