# Tweet by [@keefmoon](http://twitter.com/keefmoon) on 2021-03-11 22:13:38 > [!INFO] Archived from [original tweet](http://twitter.com/keefmoon/status/1370135856879710217) In reply to: [@keefmoon](http://twitter.com/keefmoon/status/1370135854920912898) I suspect the need for health insurance changes the calculus in the US, and that’s the reason it’s less common.