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Dan Munro's avatar

~1/3 GoFundMe listings are medically related

~27 million Americans are uninsured

~60-70 million Americans are underinsured

~$200+ billion of medical debt is in active collections

~$38K = Avg cost of health insurance through an employer (family w/ PPO coverage) PER YEAR

The math isn't that complicated. Our "lower taxes" just means our wages are intentionally depressed so that we can pay for-profit corporations a premium for the privilege of going broke - and then crowdfunding our cancer treatments.

Eric Goldman's avatar

Scott—your "F1 engine in a Volvo wagon" line applies even more forcefully to the country sitting right on America's border. The usual American dodge on Sweden is "sure, but they're small and homogeneous—can't scale here." Canada kills that excuse. Continental, immigrant-built, federal, resource-and-market-driven, economically fused with the US at the hip. Same model as America almost everywhere—except the safety net.

And the result? Universal healthcare at 11.3% of GDP (the US burns 16.7% for shorter lives), life expectancy of 81.7 years, 33 unicorns, and in Shopify a homegrown ~$200B company. Hardly a stagnant welfare state.

But your real thesis is trust, and that's where it lands hardest: Canadians trust their federal government at 49% against an OECD average of 39%, and trust each other at 66%. The US, as you note, scrapes the bottom on both. Canada isn't some far-off Nordic experiment Americans can wave away. It's the same continent, the same neighbourhood, the same capitalist engine—and it still chose to build the seatbelts. The variable isn't geography or scale. It's whether people trust each other enough to ride together. Canada does. That's the whole story.

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