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What does it say when an economy is increasingly dominated by this sector which is primarily maintenance related?

Worse than that -- the more that's spent, the more it's a sign that things have gone awry, given that hc spending is dominated by chronic disease spending, and chronic disease in this country is a sign of the foundations of life being hugely disordered.

HC spending is like an index fund on the poisons of modern life.

Yeh, and if a greater fraction of the population is working in healthcare, that means there's a smaller share for them to extract surplus from. Which may perniciously incentivize the industry to get more people into chronic care conditions.

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