With the debate over the future of “Obamacare” now underground — Senate Republicans having decided that the monstrous American Health Care Act approved by the House two weeks ago is best discussed in secret, and they may be at it for months yet — it’s a good time to review the state of health care in the United States. It’s not just a question about the fact of ACA beneficiaries (or those who might lose insurance under the AHCA). How has the U.S. health care system performed for all of us, rich and poor, insured or uninsured over the last quarter-century?

The short answer: Not great.

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