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A life is a terrible thing to lose because the richest country in the world cannot provide its people with jobs or health care or even medicine. Unemployment, or physical inability to work, should not be a death sentence for anyone. (RIP, Dave).
And best wishes to you in your quest for better health.
As to your question about the U.S., the program about which you are speaking seems to be a city or county of LA program. So, maybe L.A. is a first world city or county.
The U.S. program is the misnamed AFfordable Care Act. i have no comment on that right now, especially after the Supremes gutting the way to enforce Medicare expansion, while leaving the mandate intact.
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