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There's a good documentary on Sweden that talks about this. About when they went socialist and it didn't work. Then they reformed into a capitalist country with high taxes and a welfare state.
The TLDR is that it works better when you have a smaller scale state and more of a shared cultural heritage. The message the guy sends is that over time people move from feeling ownership of their system and not feeling entitled to more entitlement from those using the system. This breeds resentment for the higher taxes.
Its a few years old but is interesting.
Sweden: Lessons for America?
I tend to agree with this general thought. Unless you have a more monolithic culture welfare systems really slowly stop working. The thing I take away from this is if you have a culture that values the welfare of others why do you need force to help those in need? I don't think the issue is the tax rate but the perceived value of what people get for those taxes and sense of leadership listening to the people. That tends to break down as governance scales to large. I think this is a thing that can happen in private governance as well. But private governance doesn't have a monopoly on violence like a state does. Easier to kick the leadership out or the entire system.
The US health system is the most inefficient inequitable system on the world. The market does not solve all problems. A mixed economy is better than the crony capitalist system the USA practices where big rentseeking corporates and the bankers hold too much power via lobbying.
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