Not hurting many people is not the prime directive

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Not hurting many people is not the prime directive for many, particularly here in the US. It's why we're NUMBER 1!!! Yea team!

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My daughter just had an emergency appendectomy. Cost nearly $40k.
*WITH* insurance, it still cost me $6500 o-o-p.
If I still lived in the UK, it would have cost zero.

I really want to read Slavitt's book. Heard great things about it.