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Actually Highwaystar products like Tobbaco and Cigarretes LOWER the overall burden of Healthcare... because while people may get cancer or liver disease. They die earlier and aren't a giant cost during old age.

Also healthcare in the US would cost more then 7 times the UK system for a variety of reasons.

1) Old people wouldn't except being treated as second class citizens when it comes to healthcare.

2) The US just does everything more expensive because it's a REALLY inefficent government since it's only a 2 party system.   The republicans and democrats never have to worry about falling to 2.5 party status.

3) The US is a much bigger country land wise.

4) The US provides 84% of the worlds medical funding.  Either the government would have to fund that or medical discoveries that increase peoples health would DRASTICALLY fall off... in which case... medical care in the US and in general the entire world would drastically fall.