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> The US does spend a lot more, and doesn't cover everyone.

The US does spend a lot more, _because_ it doesn't cover everybody.

The use-value of private health care in the the US is:

- delta (getting treated, slow painful death and/or bankruptcy)

whereas most places it is more like:

- delta (private room in fancy building, non-private room in an oldish building)

If you were a salesman, and you sold the first product for less than 5x the price of the second, you would deserve to be sacked on the spot. How could a profit-seeking economic system be so inefficient that it would fail to extract a large portion of that value from the customer?

> he US needs to focus on lowering costs

Why would a profit-seeking system seek to lower costs when high costs led to higher prices that still get paid? Any CEO suggesting such a thing would be sacked by the board the same day.

Do the math; costs are about 3x what they should be, but 85% of the market still pays them. 3 * 0.85 > 1 * 1.0.




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