> No universal healthcare so billing data is available
In many universal healthcare systems there is still clear divison between healthcare providers (doctors and hospitals) and payers (public health insurance), so billing data are also available.
It seems like the US is committing the biggest lie right now by not testing for covid19. Before that one can remember the administration lying about weapons of mass destructing to get in a war. Need more?
No universal healthcare so billing data is available, local and state governments are do not answer to the federal government on most matters.
Press is free and for the most part anyone is free to tweet what ever is going on without the fear of diving out of window.