Well, amazingly, millions of freeborn citizens' exercising their own judgment as to which of the latest drugs, tests, and procedures suits their own best interests has given Americans a longer, better, more fulfilling old age to the point where there are entire states designed to cater to it. (There is no Belgian or Scottish Florida.) I had an elderly British visitor this month who's had a recurring problem with her left hand. At one point it swelled up alarmingly and so we took her to the emergency room. They did a CT scan, X-rays, blood samples, the works. In two hours at a small, rural, undistinguished, no-frills hospital in northern New Hampshire, this lady got more tests than she's had in the last decade in Britain - even though she goes to see her doctor once a month. He listens sympathetically, tells her old age often involves adjusting to the loss of mobility, and then advises her to take the British version of Tylenol and rest up. Anything else would use up those valuable resources. So, in two hours in New Hampshire, she got tested and diagnosed (with gout) and prescribed something to deal with it. It's the difference between health "care" (i.e., going to the doctor's every month to no purpose) and health treatment - and on the latter America is the best in the world.