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Not in order:


About 4% of the cost is because of insurance profits.

Then there are doctor and nurse and hospital profits.

Then money that somehow ends up in congress.

And some waste.

And costs for services that are not needed.

And regulatory costs

And the cost to have new or  more machines than other countries have

or the extra cost for private rooms or rooms with just two people


And expenses that we have that other countries don't have like the cost for gang bangers that get shot and cost millions per event to treat. I am speaking mostly of the higher than average murder rate that we have more than I am talking about the cost of treating uninsured. and of course for every million dollar treatment murder victim that does to recover there will be ten million dollar treatments for those that do recover.


And costs for elective treatments that we have more of.


and costs that some countries have that get hidden like tuition for doctors or babies that die prematurely and never get counted.


or the savings that some countries have for aborting babies that would be sick.


And that costs that we incur for end of life treatments where other countries would euthanize.


And the list just goes on...


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