It has nothing to do with medical coverage. It has everything to do with Bob Dylan Art Signature shirt, self entitled, spoiled Americans who had to make a global pandemic all about them, their politics and the “loss of their freedoms” or so they say. Oh and the total and complete lack of leadership by the one who first made a global pandemic political.
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I reckon having no paid sick leave is likely one of the biggest causes of widespread community transmission. That was a risk in Australia too because casual employment but mostly mitigated by the substantial government subsidies for Bob Dylan Art Signature shirt and the underemployed and unemployed.