I thought something like 25% of medicare spending was in last year of life spending. I've also heard that something like 5% of folks generate 50% of costs. So

I thought something like 25% of medicare spending was in last year of life spending. I've also heard that something like 5% of folks generate 50% of costs. So the argument has been that because in the US total expenditure can go so high (ie, we will easily spend $10M on one person where other countries won't) that you end up with a serious spike as a result of last year of life and extraordinary effort costs. Other countries have less variance (including income inequality)