thats not even remotely true. we are full of sick miserable poor people.  diabetics will show up to their appointments, be aggressive towards the workers, get their amputations and free mobility scooters, then go home and chug cocacola and eat doritos. they even refuse to measure blood sugar and to take meds. deep down they want to die and they want someone to care that they are dying, but they refuse to help themselves. the medical industry keeps them alive because the rules say so and because it keeps them busy.  the other major factors in our expensive healthcare system are insurance middlemen and the ama which keeps the doctor supply low and their wages high. underpinning it all is digital medical records which dictate treatments and require providers to waste time justifying their decisions
United States