The implication is that the United States represents an unvarnished, unrestrained, extreme kind of capitalism. In that setting the masters of U.S. society could easily accept not only reduced U.S. life expectancy, but also die-offs from climate disaster and from wars and nuclear war.
Source: Health Care in Crisis: Warning! US Capitalism is Lethal – CounterPunch.org
1848+: The End(s) of History 