Comment by phd514
4 months ago
Fair question and I don't think there are easy answers to the problem. I think the actions you suggest tend to result in a market environment like Europe's where there are more regulations but businesses are generally less competitive than US businesses and wages tend to be lower than in the US.
I get that there's an argument for "if we make sure innovation can thrive and make sure people have a lot of resources to work with, we'll come up with lots of solutions to problems and people will be able to access them". But if that were true, wouldn't it be coming through in our societal outcomes? In life expectancy, or crime, or social stability, or a general feeling of peace and safety and security?
We lag Europe by five years in life expectancy, despite spending 2x as much on healthcare. We even spend more public money on healthcare, by far. We're in worse health while we're alive. Our life expectancy is ~the same as it was in 2001, in an age of medical miracles. Our homicide rate is close to the global average, and trailing many poor countries. We have the fifth-highest incarceration rate on Earth, many times higher than countries we think of as having terrifyingly oppressive governments, and on par with several of the world's worst dictatorships. Our citizens don't feel secure: that's one of the few things almost everyone in America agrees on, and part of why we're reaching a level of instability that hasn't been seen in a rich country in a long time.
That doesn't sound like a thriving country to me - certainly not given that we started as a superpower, have had 150 years of relative internal stability, are the beneficiaries of a global brain-drain in our favor for the entire postwar era, enjoy some of the world's richest natural resources, have tons of space to spread out, have friendly neighbors who haven't made war on us in a century, invented the stuff half the world runs on, operate the world's reserve currency, and have both literal and figurative mountains of capital.
We should be a shining utopia, the envy of planet Earth. But we aren't. How can that be if we're doing everything right, or even if we're closer to right than our contemporaries?
> We lag Europe by five years in life expectancy, despite spending 2x as much on healthcare.
Delete the bottom 5 states from the data (red Bible belt places) and suddenly this is no longer so true.
This trend holds for a lot of the things on your list: homicide rates, physical health, and so on. I'm not saying that these things you list aren't legitimate, but they are hardly pan-American.
The Deep South is a third world country that happens to be part of the United States, and there's not much the rest of us can or will do to fix problems that Southerners themselves have no desire to fix.
> Delete the bottom 5 states from the data (red Bible belt places) and suddenly this is no longer so true.
It's less true, but it's still mostly true.
Even the highest life-expectancy state in the US (California, at 80.9 years) isn't very good by rich-nation standards. It ranks below - deep breath - Hong Kong, Japan, South Korea, French Polynesia, Andorra, Switzerland, Australia, Singapore, Italy, Spain, France, Norway, Malta, Sweden, Macau, the UAE, Iceland, Canada, Martinique, Israel, Ireland, Qatar, Portugal, Bermuda, Luxembourg, the Netherlands, Belgium, New Zealand, Austria, Denmark, Finland, Greece, Cyprus, Slovenia, Germany, the UK, Bahrain, Chile, and the Maldives, coming in just above Costa Rica.
> This trend holds for a lot of the things on your list: homicide rates, physical health, and so on.
Rhode Island is the US' safest state at 1.5 homicides per 100k per year. That's seven times Japan's, triple China, South Korea, or Italy's, double Malaysia, Norway, or the UAE, and 50% higher than Denmark, Iceland, or Belgium.
Colorado is the US' least obese state at 22.6%. That's triple South Korea, double France, and 50% more than Switzerland, Denmark, Sweden, or the Netherlands. (I'm including only high-income countries in this list, since many poor countries have low obesity because food insecurity is a problem.)
Even the most cherry-picked favorable stats are still awful. Does the South drag most US averages down? Yeah, but not by that much.
There are sooo many confounding factors that it's not even worth discussing.
The EU is a patchwork for 27+ small countries. There is no unique digital market. There are 27 languages to cater to. 27 different cultures which are radically different compared to say, Texas versus Maine. General risk adverse culture after WW1 and WW2 where there are no VCs, even though for sure they could make money and Europe is full of tax loopholes they could use...