The billing infrastructure is a huge source of cost that is often unmentioned. Getting anything done in the US is so damn hard and time consuming as a patient w

The billing infrastructure is a huge source of cost that is often unmentioned. Getting anything done in the US is so damn hard and time consuming as a patient wrt to anywhere else I've lived (six counties) I have a game I play when I go to the Dr.: Estimate the ratio of Dr.s to administrative staff. In the US there are offices where I've seen with two admins per Dr. In Canada (where I'm from) I usually see two Dr.s per admin. There are other costs. Too few Dr. having too high a salary Another fun game to play. Find a recent list of Drs per capita for the various countries and go throught the sorted list. English speaking countries fare really bad, but the US does very well among English speaking ones. Why? It's a lot easier for an English speaking Dr. to move to the US than an non English speaking one. ObamaCare was mostly a failure. I had it in between jobs for a few months, it's gotten worse since. It really doesn't make sense for a young person to buy it unless you have a per-existing condition. Bush also made it worse by prohibiting drug re-imports (and letting pharmas charge medicaid whatever they want??) Ultimately too many too powerful people have interests in keeping the US health care in the state its in, so it'll continue like this until it collapses.