> It seems pretty likely that the US healthcare decisions at the federal level are to blame. This data suggests it isn't the access to healthcare that is to blame as much as the governance of the entire system is forcing bad outcomes.
What is your basis for that? Does it vary by state - I'm pretty sure states that invest less in health get much worse outcomes. And how can people without health insurance somehow get sufficient healthcare?
I've been in communities where many people lack health insurance (and note the bubble HN is in, where those people are seldom here to speak for themselves - for most people, it's like I visited a foreign country). I remember one person, after a car accident with many broken bones, spending 13 hours in an ER, in extreme pain, waiting to be seen. One older parent described to me removing maggots they found on their diabetic adult child's legs.
> I could see city planning being a contributor
Based on what? A dislike of city planning?
Obviously the US does not provide healthcare to its citizens, unlike every other wealthy country. You don't need much creative, insightful thinking to find the problem here. Citizens want it, the Democrats want it, almost every other major political party in the developed world supports it afaik. Like climate change, gun control and safety, and more, only the GOP opposes it; that's the problem.