the real struggle with health care is the cannibalism between health and other businesses. Business claims health takes too much, health wants to expand what it takes. Note, there is no reference to health in this struggle.

An economy in real decline (especially when environments are  included along with bad distribution of incomes) will lead people to struggle at the gutter level for scraps. This is completely inevitable with a  culture that stresses money wealth as core value.

Only careful attention to the quality of the whole culture can prevent this scrambling at the margins, and into the core.