How ironic is it that the US spends the most amount of money on medical related stuff and we are the sickest country.

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You Americans are funny! You want to be numbero UNO in all aspects of life. :)

And afaicr max keiser once said the us economy masquerades as a hospital while the Russian as a gas station :)

Unfortunately it’s not ironic, but it’s rather the intentional outcome.

It almost seems like that money goes into bureaucrazy and not actaully go to fixing the problem or making things better

It's working as designed.