Why Are American Health Care Costs So High?

Why Are American Health Care Costs So High?


Good morning Hank, it’s Tuesday. I want to
talk today about why healthcare costs in the United States are so phenomenally, fascinatingly
expensive, but first I have to blow your mind: Alright, so you’ve probably heard that the
reason that people enjoy “free” healthcare in Australia and the UK and Canada, etc, etc
is that they pay higher taxes. That money then goes into a big pot and is used to pay
for people’s healthcare, but in fact, in the US, we spend more tax money per capita on
healthcare than Germany, Australia, the UK, or Canada. That’s right Hank: you pay more in taxes for
healthcare than you would if you were British, and in exchange for those taxes, you get no
healthcare. In fact, only about 28% of Americans get their
health insurance through government funded programs, mostly poor people, old people,
and Congresspeople. But as you can see in this graph our private healthcare spending
(most Americans are privately insured through their employers) is WAY higher than anywhere
else in the world. In total, the US currently spends about 18% of its gross
domestic product on healthcare costs. Australia by comparison? 9%. Why is this? Well because everything costs
more, which seems obvious, but apparently isn’t, because every article you read is like
“Oh it’s because of malpractice insurance” or “it’s because we’re obese” or we go to
the doctor too much or people are prescribed too many medications. Well, not really. It’s because everything costs more. A hip
replacement in Belgium costs $13,000. In the US it’s often over $100,000. Colonoscopies
average over $1100 a piece in the US; in Switzerland they’re $655. And on average a month of the
drug Lipitor will cost you $124 if you live in the US. If you live in New Zealand? $7. Now we are also—not to brag—richer than
all of these countries, so it makes sense that we should spend a little more on healthcare.
But we don’t spend a little more. We spend a ton more. And vitally, we don’t get anything
for that money, which means we are essentially paying people to dig holes and then fill those
holes back up. Like we don’t live longer—in fact we’re 33rd in life expectancy—and in
everything from asthma to cancer, according to one recent nonpartisan study, American healthcare
outcomes are “not notably superior.” So why are we spending all of this money for
nothing? Well first, let’s discuss some of the problems that are not actually problems. For instance, the problem is not so-called
“overutilization:” the idea that Americans go to the doctor more and get more tests and
spend more time in hospitals. We know this because Americans actually go to the doctor
less than Europeans and spend much less time in hospitals, although to be fair, you can
stay in a Dutch hospital for seven nights for what it costs to stay in an American hospital
for one night, so no wonder we’re hesitant. Also it is not because we’re sicker than other
people. Everyone likes to blame obesity on our rising healthcare costs, but yeah, no.
That argument is just not supported by data. For one thing, disease prevalence does not
affect healthcare costs that much. And for another thing, while we do have more obesity
in the United States, which sometimes leads to health problems, we have fewer smokers
and less alcohol consumption (really? Apparently yes). So that saves us a little money, and
if you compare us to like the British or the French, in the end it’s probably a wash. Hank, the truth, as usual, is complex. Like,
there are obvious inefficiencies in our healthcare system. For instance, not everyone has insurance.
If you don’t have insurance, you still get healthcare, but you’re responsible for paying
for that healthcare, which often you can’t do, so you end up going bankrupt. That sucks
for you, obviously, because you’re bankrupt, but it also sucks for the rest of us because
we have to pay not only for your care, but also for all the money the hospital spent
trying to get you to pay for your care. Also the only options available to uninsured people
are usually the most expensive options, like emergency rooms, which is just BANANAS. But those
inefficiencies are hard to measure. Fortunately, there are things we can measure. So like I said before, because the US is one
of the richest countries in the world, you would expect us to pay a little more for healthcare
than most people. The question is, when do we pay MORE than you would expect us to pay,
and that turns out to be pretty interesting. Let’s start with malpractice and so-called
“defensive medicine.” The idea here is that doctors are scared of huge malpractice suits
so they order a lot of unnecessary tests in order to, like, cover their butts. That
does contribute to our healthcare costs, like there are more MRI and CT scans in the US
than anywhere else. However, there are a bunch of states like Texas that have passed tort
reform to limit malpractice suits, and in those states healthcare costs have dropped
by an average of a whopping 0.1%. The biggest estimates for the total costs of defensive
medicine put it at around 55 billion dollars, which is a lot of money, but only 2% of our total
healthcare costs. Another smallish factor: doctors (and to a
lesser extent, nurses) are paid more in the US than they are in other countries, and by
my possibly-faulty math we end up spending about 75 billion dollars more than you would
expect us to there. And then we have the cost of insurance and
administration costs, like paperwork and marketing and negotiating prices. That’s about 90 billion
dollars more than you would expect us to spend. We spend about $100 billion more than you
would expect on drugs, not so much because we take MORE of them, but because the ones
we take cost more per pill. Okay, and now for the big one. I’m gonna lump
inpatient and outpatient care together, because in the US we do a lot of things as outpatient
procedures, like gallbladder surgeries, that are often inpatient procedures in other hospitals.
We’re just gonna make a big ball [gestures]. That big ball is $500 billion more than what
you would expect given the size of our economy. Per year. Why? Because in the United States we do not negotiate
as aggressively as other countries do with healthcare providers and drug manufacturers
and medical device makers. So like in the UK the government goes out to all the people
who make artificial hips and says “One of you is going to get to make a crapton of fake
hips for everybody who is covered by the NHS here in the United Kingdom. But you better
make sure your hips are safe, and you better make sure that they are cheap, because otherwise
we’re going to give our business to a different company.” And then all the fake hip companies
are motivated to offer really low prices because it’s a really huge contract. Like think if
your company got to put hips inside of everyone in England and Scotland and Wales
and Northern Ireland (I guess not everyone. Just the people who need hips). But in the US we don’t have any of that centralized
negotiation, so we don’t have as much leverage. The only big exception is Medicare, the government-funded
healthcare for old people, which, not coincidentally, always gets the lowest prices. So basically, Hank, in the United States,
providers charge whatever they think they can get away with, and they can get away with
a lot, because it’s really difficult to put a price on, like, not dying. This is a phenomenon
called “inelastic demand,” like if you tell me that this drug will save my life costs
$7 a month, I will pay you $7 a month for it. If you tell me that it costs $124 a month,
I will find a way to find $124 a month to pay for it. You can’t negotiate effectively
on your own behalf for healthcare services because you NEED them. And not like you need
a Macbook Air or the new season of Sherlock, but actual, physical need (I guess it is like
the new season of Sherlock). So basically, Hank, until and unless we can
negotiate as effectively with the people providing healthcare as Australians and British people
do, US healthcare costs will continue to rise faster than anywhere else in the world and
we WON’T get better healthcare outcomes. Hank, I know this video is long, although
it could have been much longer, but I am so tired of people offering up simple explanations
for what’s wrong with our healthcare system. They say “Oh, it’s malpractice,” or “it’s
doctors who must also be businesspeople” or “it’s insurance companies” or “it’s insane
rules for who can GET insurance.” It’s drug companies, it’s government bureaucracy, it’s
an inability to negotiate prices. Yes, yes, yes, yes, and YES! It is all of those things
and more! It is not a simple problem, there will not be a simple solution, but it is probably
the biggest single drag on the American economy and it’s vital that we grapple with it meaningfully
instead of just treating healthcare costs as political theatre. So I hope I’ve at least introduced the complexity
of the problem. I’ve put some thoroughly nonpartisan links in the doobly-doo for further reading.
Hank, welcome back to the United States. As you can see, everything is peachy here. I’ll
see you on Friday. Friendly reminder, educational videos are allowed to be more than four minutes long. All of the people who are commenting about how punished I am did not watch to the end of the video.
I feel dizzy.

100 thoughts on “Why Are American Health Care Costs So High?

  1. Interesting Video. I am very happy to see this amazing video. Yes, I know American health care costs are very high. Thanks, John for discusses the complicated reason. I would like to share with my friends. For more info go to https://www.slideshare.net/lisaberzins1/the-professional-life-of-dr-lisa-berzins

  2. Things cost less because the government says they cost less…. You can't bring that kind of totalitarian system to the U.S.

    And when they try (Medicare) doctors just don't take that form of insurance so they are functionally uninsured.

    How does obesity not effect the healthcare costs? That's clearly not true….. Obesity leads to heart/cardiovascular problems, increased risk of cancer, diabetes, increased risk of surgery failure. And if I'm not mistaken obesity is the 3rd leading cause of death in the U.S.

  3. Imagine how insane health insurance would sound if it was some other kind of insurance.
    Imagine buying insurance for your car that covers not just accidents but breakdowns too. And maintenance. Oil changes and tire rotation, and even replacement of those parts that routinely wear out (brake pads, tires). So if a light bulb on the car fails, you take it to the shop and pay a tiny "deductible" to get it fixed, with the rest covered by your "insurance".
    What could go wrong?
    Well, the insurance company negotiates deals with the mechanics and the mechanics negotiate deals with the parts companies. If you want to change a light bulb yourself, … good luck finding a company that will sell you just one, and you'll probably pay five times what a mechanic would. So now you really need that "insurance" to be able to afford to maintain your car.
    And what do you do when your insurance company decided your car is too likely to break for them to be willing to insure it? Not like your make and model, but your specific car? You can't afford to maintain it yourself, and you can't sell it because it is uninsurable.

    Decades ago my father bought a car insurance plan that included an auto club plan: free or discounted roadside assistance and towing. The next year they refused to renew him because he had "filed too many claims", by which they meant that he had called a tow truck for a jump start three times.

  4. The democrats are out of control. They deliberately raise the prices on everything….. Destabilizing your nation…. that puts you all your people in debt, then they borrow from other countries to get rich. Other nations own you in the process. Pathetic. Nationalism is the only way to save your culture n way of life.

  5. American healthcare is awful and won't be able treat anybody unless you got a job covered the proportion of health problems or you better be rich. Americans are idiots and refused to have universal health Care as why I don't even understand it at all

  6. Capitalism forces people to stop seeing people as human beings. They are forced to see them as financial instruments.
    Communists manifesto.

    When you make money the object of health care. Then the policy becomes; hurry up and die.
    Barrack Obama

    Personally, I believe that their are some aspects of our lives. Where Capitalism does not belong.
    If you have a medical emergency? Do you get to do market research?
    Find the best provider at the right price?
    Nope, you are forced to hand over your lifes savings. When that doesn't cover the cost. You are forced into bankruptcy.
    If you do not have money. Then you get the bumb treatment.
    The bare minimum to comply with corba.
    No wonder people hate the American Government. Let a fool bleed to death at a hospital because he doesn"t have insurance.
    Let a fool starve to death because he is homeless without an address.
    Shoot a fool for reciting his constitutional rights.
    Ashamed to be an American.

  7. US spends 17% of their GDP on healthcare. Most other developed countries spend around 10%.

    The difference is approx 2x the amount that the US spends on its armed forces (3.6% of GDP).
    The outcome: no difference in healthcare quality and worse life expectancy in the US.

  8. Why cant you get medical help over the taxes? What do your taxes cover? Beeing in the hospital here is free. Going to your doctor will cost you around $10 – $15. Everyone has a GP and that GP know all about your medical background. If you should swap your GP because of moving etc. you just do that online. The former doctor will send all your medical background to your new one. This practice makes you feel safe and it doesen’t cost you and arm&leg.

  9. @1:43 Sorry, but the USA it's not richer than other countries. You have a the highest population our of all the 1st world industrialized nations and therefore a much bigger economy. But on an individual level your wealth is equal or worse.

  10. I dont see anyone solving the problem…capitalism works best when there is competition..so if we cant trust the government than maybe A.I can do it…idk

  11. Turned it off when the first actual justification was a lie. Hip replacement can cost over $100,000 whereas average cost in Belgium is $13,000. "Can cost" vs average cost…sirens should go off. The average cost of hip replacement is $21,000 in the US.

    But that is still more here, right? The devil is in the details. When the government is paying, it is easy to hide costs. That guy cleaning up after the operation? Government employee in Belgium. His salary in Belgium is doesn't contribute to the cost, but it does for the surgery done here in the not for profit county hospital in your town.

  12. Everyone should have a primary care physician and only pay when we are healthy. That would give doctors motive to actually cure your illness instead of stringing you along as long as possible prescribing drug after drug for the kickbacks from the pharmaceutical companies.
    I may be wrong, but prove it.

  13. Switzerland NEVER had "FREE" healthcare, and only got universal healthcare since 1996, and that's only by compelling every citizen to purchase a basic package from one of the government-approved PRIVATE health insurances. Besides that, except the teaching/university hospitals, (which are no more than 6-7 in the entire country), all other hospitals and clinics are private. Yet, Switzerland has got one of the best systems in the world. Then, the Netherlands privatized their ENTIRE health care system about a decade ago, and they are now among the top-5 countries with the best health care. Socialized health care is a humanly good thing, but it is simply not sustainable over longer periods of time. Australia might not be suffering now, (which I doubt), but you'll see in 10-20 years. The British NHS is crumbling, the Canadian system is and always was shitty, the French system is on the verge of a collapse, in Russia and Brazil it has never worked properly, Singapore, South Korea and Japan also started having some problems since recently, Sweden has got many problems with its entire welfare system and decided to privatize its pension funds a few years ago… and it's only bound to continue that way, until they realize they have to privatize their system. Growing yet aging population, expensive treatments, immigration… all those are factors which exacerbate the socialized health care systems around the world.
    P.S. As someone living in a country which has "free" health care, and additionally, private practice is not that developed, because of the government restrictions, I would chose the American system ANYTIME!

  14. Nice try…….. but sigh I will, again. A tepid attempt at smattering us with statistics and conflated buckets of cost analysis all wrapped up as a comparison to the UK's NHS and blamo, it's as simple as collective bargaining on a mass scale that'll bring down out health care………. except those inexpensive gall bladder operations, hip replacements and a plethora of other bargained for medical situations are not real deliverables in the U.K. are they? Well maybe in six months if you're fortunate, or what if you're end of life options are considered or determined zero because the resources just are not there? A British citizen can't appeal that decision made not to save their life can they? Unless they have enough money to pop on a plane and get to the United States where there's a huge choice to be had and many options available – why not ask Americans, those 80% whose children and entire family are currently fully covered privately to give up all those options and allow the government to manage the family's healthcare from now on? You know, like Medicare for all………. as one would respond in England, "bullocks!" The solution is not easy, simple or even close to being worked out, but until we get to that place where America can maintain its place as the premier provider of healthcare to the world and begin to offer those same high standards at even lower prices than the very best well-run collective, let's not toss everyone off of this system and get us all on the government run system just because

  15. Real reasons for high cost of health care here: https://mises.org/wire/how-government-regulations-made-healthcare-so-expensive

  16. There will never be a Healthcare System in the US equivalent to the free Medical Care systems in Canada and Europe. Too many greedy big businesses lobbying against it (Pharmaceutical and Medical Insurance) that reap huge profits and to do this have to jack up the prices…that's why US Health Care costs are so high. Shame that systems that would benefit the whole never seem to materialize in the US. Why is there never a 'democratic' vote to adopt a better system…hmmm isn't the US the beacon of democracy?

  17. I'm watching this in 2019 while people with diabetes are going without insulin for days and some are dying because it costs so much and they can't afford it. So sad that it's been 5 and a half years since this video was made and so far health care has only gotten worse.

  18. Stage one: America makes products that make America sick and keep those things a secret (ie. high fructose corn syrup and msg) so they don’t know
    Stage 2: America makes their citizens sick
    Stage 3: Americans seek out medical care
    Stage 4: Americans pay a shit ton of money on health care costs because they make it expensive on purpose because they KNEW you were going to get sick anyway
    And the cycle continues so you have to rely on spending money to be healthy

  19. it because when government pays people tons of money that is used for healthcare it brings up the cost. By privatizing the healthcare system companies would have to compete instead of getting paid by the ggovernment everyomne in the comments think its because companies are greedy but they are only greedy because they will never go out of business as the government will bail you out.

  20. I know this is almost six years ago, so John you probably won't read this, but please, everyone, make sure when you're talking about important stuff like this that you don't mix up "Great Britain" and "the United Kingdom". I know you know the difference, John, and weren't doing it because you're a moron, but probably because you were more distracted by more important things like the actual topic of the video. To those who are confused about the difference and how it is relevant:United Kingdom:- Is England, Wales, Scotland, and Northern Ireland. All are covered by the National Health Service (NHS) although it is called Health and Social Care in Northern Ireland and works slightly differently.  All are free on point of access to UK citizens because our taxes go into it. Great Britain:- Is England, Wales and Scotland.Brexit should be interesting

  21. It’s not a human thing to charge a person $450-700 a month for healthcare . It’s a crime! I live in NY and I rather to say without healthcare… The taxes are high , the rent is skyrocketing , there’s people that make $2000 a month and before they started the month they are already in debt from housing and health and it’s sad

  22. I’m from Canada. and I have a heart condition. I go through a lot of test once or two times a year for reasons I’ve never been told why? I never even thought about what you said about Mel practice till just now. My family has asked countless of times why so many tests with no answer. And the test results? Always the same or nothing we can do. And when I actually do need something it takes months or I’m too afraid of the tests to call.

  23. Within two minutes, Instantly Ageless immediately reduces the appearance of under-eye bags, fine lines, wrinkles and pores, and lasts 6 to 9 hours.https://izimid9.jeunesseglobal.com/ru-RU/instantly-ageless

  24. Not everything in the U.K is sunshine when it comes to healthcare.Dentistry can be very expensive if you need anything outside normal treatment.Lot's of people have poor teeth and care.Also social services have gone back.We have a shortage of nurses and their pay is poor.In America everything is about profit the Government should be ashamed the way people are treated.

  25. Just Ask Google for knowing how universal healthcare works in the world… and know how many Universal healthcare nations (UHN) on this Earth right now – American people who are human deserve a better Universal healthcare system like those nations (UHN)

  26. Listen guys, the ACA has absolutely destroyed the private market for health insurance. Now if you are healthy and don't qualify for a subsidy, you are paying an arm and a reg for high premiums with a ludicrous deductible to satisfy, and on top of that, you are stuck in a limited HMO network!

    There are newer plans out there that are able to reward a good bill of health!
    If this sounds like the situation you are in, feel free to give me a message/call/text and I can see what options out there work for you.
    -Michael Hardman
    Licensed Healthcare Adviser
    (813)397-8515

  27. I think that the government should step in and make it against the law for companies to raise their prices but force them to give raises just enough that it gives the American working people a living wage but not enough to hurt the profit of businesses . Because I think business is like Walmart profit way too much money . Because assholes like Bill Walton and his brothers and sisters and the Hilton family or sitting on billions and billions and billions and billions of dollars oh and along with Bill Gates and Warren Buffett people in this category and a lot that I have not mentioned make billions and billions and billions and billions of dollars a year while the rest of us have to live on crumbs and it’s not fair. There’s nothing wrong with them wanting to be rich but it should be against the law for a company to be so rich that the average workingman Only has $100-$200 a month left over after he pays his bills . I’ve always wanted to own a new Corvette. And in the 60s and 70s the average working man could buy one. But now prices have gone up but job pay has not.!

  28. America is all about profit, it's every where, bill boards, television adverts, magazines, stickers on buses and on vans even on taxis. I rest my case, but we still love coming to the USA regardless.
    PS I'm English and live in Dorset, god bless the National Health Service. 🇬🇧🇬🇧👍

  29. Still a good video. What I got from this is that there should be more competition in the medical and even insurance business.

  30. It's because our healthcare system knows they can charge that much and still get paid. I'm going to say the big bad words but honestly "socialized" healthcare works and private healthcare is the exact reason we pay so much. But go ahead and keep telling me that privatized healthcare works so well!

  31. So what he's saying is that if we had a central planned economy, the regulators could more easily set health care prices lower. What he DIDN'T say is that they could also set YOUR prices, your wages, lower. I wonder how many people would be happy with their own wage cap set by remote regulators in relation to the rest of the entire national economy. Bye bye, labor unions. Bye, bye, salary raises based on personal productivity. What was the saying they had in the old Soviet Union where all prices and wages were standardized and centrally regulated by economic planning czars in Moscow, "They pretend to pay us and we pretend to work"?

  32. Wait if the US spends so much on Healthcare then how come there isn't a centralized agency or ministry to handle these pricing negotiations?

  33. Those other countries also don't have literally millions of illegal aliens that don't pay for any of the medical care they receive when they go to ERs and the such.

  34. I don't get 6:15… Wouldn't competition between the drug providers encourage them to make their price as low as possible and their drug as effective as possible as to put the other providers out of business and gain the most costumers?

  35. John, if you became president, you would get a lot of things done, since you can explain things so well.

  36. Most Americans are concerned that AMERICANS have good Medical Insurance, NOT Mexico or Mongolia or any Foreign nation..

  37. Can we have just one fucking discussion about this without comparing the US to other counties?????? GERMANY DOES NOT HAVE A POPULATION OF 400 MILLION PEOPLE. Of course we spend more tax money on health care. Jesus Christ I’m sick of every single person wether they be left or right comparing the US with other conbtries. STOP IT. We have different obstacles and variables.

  38. Because they are all full of shyt and too many folks are blind and can't see what's going on…..They got people deeply fooled…..that changing prices changes anything…..smh😔……#1 first of all, the psychology behind raising prices was to get folks to think that the product was more valuable, so they could work harder to get something they are missing out on…..#2 lowering the prices won't do shyt either, due to the fact that most of these drugs are NOT constructed properly in the first place because if they were , then there wouldn't be any negative side effects to them or negative withdrawals.

  39. The solution is to designate tax dollars for healthcare using a PAYROLL tax for hospital stays. EVERYBODY pays something, everyone is covered.

  40. Not sure if this is still accurate, but the US ranks first in life expectancy once murder and car crash deaths are excluded.  People aren't traveling to the US for meh quality health care.  I'm going to take a guess that it's  because we have the most advanced drugs, equipment, and qualified doctors, all of which cost $$$.  We also subsidize global health care costs because the vast majority of R&D investment is paid for by Americans while everyone else gets off easy.  For example, if a single payer country wants to buy a drug, it can do so in massive quantities using significant leverage to obtain a low price.  A simple mind might conclude the US should adopt a single payer system as well, not realizing it would suck the profit out of a very risky business, thus drying up the source of new drugs.  People tend to forget competition promotes innovation.P.S. The per capita spending numbers don't account for lost productivity and pain and suffering that result from longer waits to receive often sub par care  in other countries.

  41. Disagree with you on one point….not everyone can "find a way to pay" for overpriced medicine or treatments. In fact 45,000 people a year die in the US because they can't afford to access this corrupt system. Thanks for your video.

  42. Because the health Ins companys ,own Washington and the oil companys,and we are not a rich country we are a debt country, who own anything

  43. Instead of crappy yellow journalism, fake news, and drama politics, this is the stuff mainstream media should talking about 24/7.

  44. American companies probably developed the services and procedures you mentioned. America is the leader in healthcare innovation. What we could use is less government red tape and more competition in the market

  45. So, Medicare for all, then? In that way, let the feds NEGOTIATE BEST PRICE(s) for drugs and procedures with healthcare providers? If NHS in the UK can negotiate (or dictate) best price – since it's the only game in town, why not the US govt in the form of Medicare for all?

  46. We pay higher prices to save your life. Here's a video that helps explain it. Don't get turned off by the title. Listen to what happens to the man at the hospital in Paris. https://youtu.be/mTIcJNdYlcQ
    Everyone knew what to do from the emergency technician in the ambulance, the emergency hospital staff and the staff at the surgery center but there was no surgeon available for several days. That's what socialized medicine is all about. It's just what we call those emergency health clinics.

  47. It has been nearly 6 years and things are only worse. This is the single-most depressing thing in America today, and if it isn't fixed soon I think we are in for some dark times.

  48. LOOK IT UP: A NHS Family doctor average salary= $40K
    Really!
    Here what we do, test 3rd graders, find the sharp ones, ask them and their Parents, guardians, or the State, "do you want to be a doctor?"
    full ride, free everything.
    Whole cities devoted to college for doctors.
    the catch= 15 years of servitude in a national health care.
    I myself would not go to an NHS doctor, because my employer pay insurance for me to go to private practice and covers the cost.

  49. Don't know which study referring to, but all the research I've done says cancer survival rate in the US is among the highest on the planet

  50. I don’t get it

    Why do Americans jump to communism when they hear about public health insurance???

    And also where is all that money for healthcare tax going??????

  51. Ever heard of the LAW of supply and demand? Its a LAW not a suggestion. If you want prices to drop, increase the supply of the services. AMA don't like that…..when was the last medical school built?…crickets

  52. The problem is actually simple. SUPPLY AND DEMAND. Prices of anything only know two things: Supply and Demand. You can either reduce demand for services or increase the supply of services if you want to decrease prices. Its that simple, but licensure and AMA doesn't want more Dr.'s. They want less.

  53. Idk where u got the “fact” that US healthcare isn’t much better than anywhere else… okay. You go get on your waiting list oversees and see just how bad the care is.

  54. USA is not richer than those other countries, in fact the number of people living under the poverty lane is way higher in USA than in other developped countries. USA has way lower living standards that most other developped countries (like western europe).

  55. Instead of focusing on "health care" AFTER the fact, how about PREVENTION!

    BAN THE ILLEGAL TOBACCO DRUG and the U.S. will save TWO HUNDRED BILLION DOLLARS EVERY YEAR, along with the lives of 500,000 tobacco-drug addicts and another 65,000 INNOCENT citizens (who were exposed to TOXIC TOBACCO SMOKE)!

    http://medicolegal.tripod.com/cost.htm

  56. Wouldn't lower cost lead to less innovation? Does it mean U.S lead the world in medical research breakthroughs?

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