The US healthcare system is not a free market. In many parts of the country building a new hospital requires government permission. Pharmaceutical drug companie

The US healthcare system is not a free market. In many parts of the country building a new hospital requires government permission. Pharmaceutical drug companies are allowed to set prices at higher prices here than the rest of the world and block imports. Most customers get their healthcare from their employers (due to tax law), so they do not shop around for the best price. Doctors are heavily regulated and it is very difficult for qualified foreign doctors to immigrate to the US.