So just like for-profit health care customers must avoid rural regional hospitals hollowed out by VCs to be able to gain the better outcomes in a system hurdling toward catastrophe, space explorers must carefully avoid paths of a growing amount of space debris in a LEO system also hurdling toward catastrophe.

In both cases, I don't think the system works well without assuming spherical cows or something like that.

Edit: ah, I see it's "hurtling." Although I guess in both cases you have to dodge larger and larger geographic regions to claim success, so a bit like hurdling. :)

More like none healthcare for the bottom 20%, bankruptcy for the next 20%, and acceptable coverage for the rest.

Great system...

Better how? Less dollars in means worse, more expensive care for those who can afford

Screwing over regular people didnt work out too well for that one guy though ...

But still expensive burden for tax payers.