If you're talking about competing with countries in the industrialized, developed world, they don't have healthcare costs. Their societies have that as a priority. Here in America, we won't have the same kind of healthcare availability because it's still a private sector initiative. But that's O. K. because it's facilitated to be made more affordable in a public way.
The only people I ever get irritated with are the ones who announce, using my Twitter handle, that they are no longer following me and why.