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This is such a weird take. You say the people at the top are the worst capitalists, but they literally succeeded the most at capitalism. You say capitalism demands cash flow, but… does it? Who or what demands that cash flow? Certainly not the free market.
You then give a perfect example of capitalism failing, medical care.
Why defend capitalism?
It’s only depressing if you’ve convinced yourself that you’re something more than an intelligent ape.
If you think about it from the perspective of an animal that had no concept of time, space, ethics, or philosophy just a few hundred thousand years ago, then we’re actually pretty impressive.
We probably won’t have any significant effect on the galaxy, but we sure have an effect on Earth.