I don't know, you tell me, because us on communism, under Ceausescu we didn't receive anything at school

It was training us to eat slop and die early and slowly from cancer to keep the medical system funded; Medicare, an efficient mechanism to distribute borrowed money to population centers. Ever wonder why Minnesota is so prosperous? It's called "medical alley" for a reason. It's also an industrialist population that early-on adopted domestic fluorescent lights, nightly radio/television, indirect heating, and indoor living, amongst an alcohol, sugar&grain-centric culture, at high latitudes. A perfect storm for metabolic disease, heart disease, cancers and mental disorders. The federal government subsidized medical system turned out to be a convenient funnel to drive government "deficits", producing imbalanced trade deficits which established DC as the ultimate economic/military central global imperial power.