your question reminds me of what remains, 13y after its writing, my favorite short outline (1900w) of "how to fix US healthcare": @willwilkinson's "Health Care Fantasia"https://willwilkinson.net/2006/03/19/health-care-fantasia/ …
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The concern (and I don't know how much the concern is warranted) is when you make a visit expecting to need items 2 or 3 and it turns out you needed item 1
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Outside the US, many countries allow OTC sale of many more drugs.
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