The government spends 65% less per person on medical care for Indians than the U.S. average, so it sure "wins" on keeping costs down. But it does so with dismal performance. Indians suffer from worse health indicators on many levels, including the most fundamental: their life expectancy is four years less than the American average.
Granted, lifestyle is an important determinant of healthcare, and greater Indian rates of obesity and alcoholism are a major health problem.
But Indians deserve a better healthcare system than this. And so do we all.
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