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" ... TLDR: Singaporeans generally have healthier lifestyles than their countparts in the U.S., Canada or Switzerland. To be sure, much of this is due to cultural and social factors. But the economic incentives built into Singapore’s health care system—which reward those who a prudent shoppers as well as those who live healthier lifestyles that place a smaller burden on the health system. The performance of the U.S. health system—in terms of healthy life expectancy and health spending—almost surely would be improved by adopting some of the key features of Singapore’s health system. ... "