This document discusses the problems with the current U.S. healthcare system and its negative impact on individuals and the economy. It notes that many people with insurance still face bankruptcy due to medical costs, and that rising healthcare spending crowds out funding for other important social services. This has led to the rise of the "functionally uninsured" - those who have insurance but cannot afford deductibles and out-of-pocket costs. The document proposes that redirecting healthcare savings to local economies through programs like Health Rosetta could help address these issues by circulating more money through communities.