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Americans are idiots who think that they'll become billionaires, every last one of them. Which is why they don't understand that they'd actually pay less overall if they would pay for some universal healthcare than if they pay less taxes but have to pay $150000 plus tip when they break a leg or need an insulin pump. Which is also why their primary religion is billionaire worship and why they defend the elite's interests.
They're just idiots really, that's all there is to it.