@sickburnbro My impression from healthcare acquaintances was that there was selection bias going on, i.e., after getting a bunch of "hard cases" going through their hospitals (because where else were "hard cases" going to go?) they convinced themselves it was a societal wide issue.

And a lot of *that* was derived from their god-complex that they're the saints keeping the sinners from health-hell. They believed their own bullsh!t and ignored the fact that their industry has been running a giant grift on the empire-proper for generations.