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What happened is two of them died, one retired, opening up three spots. One actually died during Obama’s term, but the Dems let the Republicans delay the appointment thinking Hillary was a shoe in and then lost that position. Stronger governance and they could’ve appointed one of their own before Trump. Also RBG dumbly (and selfishly) did not retire under Obama, another Dem misstep out of weakness and unnecessary righteousness.
We’re the only 'first world" country without centralized healthcare. So the other countries that have done that would be… All the other first world countries, and all of them spend way less on healthcare then we do in the US.