In the US, where public health is not a political priority, the catalyst for policy change promoting healthier living will be fiscal. The government cannot afford the current trajectory of healthcare spending, which will eventually force changes in housing, food, and community planning.

Instead of a radical healthcare overhaul, a pragmatic solution is to lower Medicare eligibility by two years, every year. This phased approach would gradually move the US toward nationalized coverage, address the highest-cost demographic first, and allow the private sector time to adapt. This single policy change could potentially eliminate the entire annual federal deficit.

The nearly trillion-dollar US defense budget is misleading. The vast majority is locked into fixed costs like salaries, facilities, and sustaining legacy systems. The actual procurement budget for new technology is at a historic low as a percentage of GDP, constraining modernization.

An economic analysis modeling a 40% smaller NIH budget from 1980-2007 found that foundational science supporting major drugs like Gilead's HIV meds and Novartis's Gleevec would not have been funded. This provides a stark, data-driven warning about the long-term innovation cost of current budget cut proposals.

Shifting the perspective from healthcare as a cost to an investment in productivity reveals its true economic value. Dr. Oz calculates that enabling the average American to work just one year longer adds $3 trillion to the U.S. economy.

While federal law mandates hospitals treat all emergency patients, financial strain's real impact on patient access is the elimination of less profitable but essential services. Hospitals are cutting rural labor and delivery units, pediatric specialties, and psychiatric services, rather than turning patients away from the ER.

The immense regulatory complexity in U.S. healthcare creates an estimated $500 billion "tax" of administrative bloat. The non-obvious opportunity is that by using AI to eliminate this waste, the savings could be redirected to fund expanded patient care, rather than just being captured as profit.

Estimates place Medicare fraud at 10-15% of all spending, a figure well over $100 billion per year. This staggering amount, which is more than half the Army's budget, highlights the massive financial drain and its pernicious downstream effects on the entire healthcare system, including rising costs and eroded trust.

Congressman Ro Khanna argues that not all deficit spending is equal. Spending on programs like healthcare and education can be justified as 'productive investments' if their long-term rate of return for society is higher than the initial cost, distinguishing them from non-productive spending.