That also includes construction of the facilities.So what if the answer to question two was, "To save this person, we need to devote every single extra penny every American has to save them.
Would you do it?
There's always a point at which something becomes too costly, even in healthcare. Finite resources are a real constraint. So it's something we have to address.
I like how the Netherlands did it when building dams to protect their country. They set the value of a human life at 2.2 million Euros and allocated spending where they estimated that you could save 1 life by spending 2.2 million Euros. This number was reached by seeing how much the overall program would cost and adjusting it until it was affordable. This is the only way to manage the cost effectively. You can't pretend cost concerns don't exist.
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854 billion over 10 years. That's 85 billion a year.