Our lack of universal and convenient primary care hinders the formation of small or new large businesses. Our medical care quality is low due to lack of data sharing that national health services enjoy for free. Our oddly expensive but low performing healthcare is a pathetic vestige of our apartheid racist labor history here in the USA. These issues do not concern fancy elective medicine we also sadly fetishize amidst our ongoing dysfunctioning. We prefer endless pitches of futuristic delusions than reliable heartbeat services. We will continue to suffer this needless hamstringing until we catch up with civilized people who can add, subtract, multiply and divide.