The biggest competitive advantage that USA/China/Russia  had over the other G-20 group was lack of universal heath care . Obama/Clinton destroyed that . Heath care is an one way street after  you give it away. Ottawa ultimately transferred heath care to the provinces as  Ottawa realized that  regardless what they did ,heath care is , and will always be, a political nightmare . The masses love free heath care. The taxpayers that pay for it hate it. The medical profession loves it ...an endless/bottomless supply of massive $ for them. Trump's best strategy is to allow Obamacare to self destruct.