The worst part about it, other than me suffering and dying, which is a bit of a downer, is that it's not even "CEO gets a new mega-yacht for marginal improvements in social efficiency". Like, me dying isn't dying for an on-average-superior system, it's me dying for a system that exists, at this point, just to make healthcare efficiency worse.
If it was "Emperor of Healthcare buys a 224th megayacht because the new triage system he ordered implemented saves 0.1% more people, but you, PugJesus, specifically, are going to die under this new system even though the 224th megayacht could pay for your lifetime treatment", I'd be pissed and terrified, but at least there's a POINT to it. But no, it's "We've found a way to cheat 67% more people out of getting healthcare! Here's a reward, Mr. CEO, for making society worse!"
eh, there's a real trend here, but it's not an apocalypse
and it's not all of so-called "western society". It's mostly just decline in the US. Think of it like Britain.
Not long ago, they were at the top of the pile. Richest nation in the world, so much land the sun literally never set. But empire is an organism. It grows, it thrives for a bit, it declines. And it's not like Britain just disappeared from the globe. They still exist. They're just also significantly less important.
It's definitely gonna suck for me here in the US, but I'm really not convinced it's going to make a huge impact worldwide. There will be some instability as the power vacuum gets filled, probably in large part by china. But that means the rest of the world is just trading one authoritarian, hegemonic neighbor for another.
I guess the process probably will exacerbate climate change faster than otherwise, and that'll definitely impact the world in a number of huge ways, but that's already happening.