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Compare China to other countries that were poor in the 1970ies and China becomes impressive.
The USSR tried without billionaires and they are gone.
Europe has good healthcare because we had to look good compared to eastern Europe. We are cutting costs and in 10 years we likely will be much closer to the US system.
And China will also have to cut costs when having an aging society really hits them. Rampant capitalism won’t save them there.
That’s why they have an advantage over the west. They can put a limit to the Capitalism.