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A quick reading of the summary shows a lot of debunking and just one item that explains the bad health of North Americans:

Diminishing returns to spending and worse lifestyle factors explain America’s mediocre health outcomes

https://randomcriticalanalysis.com/why-conventional-wisdom-o...

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As an armchair economist, this is my personal favorite theory. With one of the most obese populations in the world, I think it's obvious that we'll also be the most sick and we'll have to spend a lot to try to dig ourselves out.

How does people being fat make asthma inhalers from the 50s cost $70 when they're $5-$10 everywhere else in the world?

Which specific asthma inhalers are you referring to? Generic albuterol inhalers are available for $27 cash price, or less if you have health plan coverage.

https://costplusdrugs.com/medications/albuterol-90mcg-inhale...

Obesity obviously doesn't cause high drug costs but it is a risk factor for asthma. Non-obese people are less likely to have to spend anything on inhalers.

https://www.cdc.gov/asthma/asthma_stats/asthma_obesity.htm

The argument here is that the US will have worse health outcomes than another country because the people are less healthy. Cost of care doesn't factor into this argument.

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