A fair comparison does, I agree, need to look at the actual costs paid by people, and not just the number they see at the doctor. But even taking that into acc

A fair comparison does, I agree, need to look at the actual costs paid by people, and not just the number they see at the doctor. But even taking that into account, the US still pays more: https://www.rand.org/news/press/2021/01/28.html https://www.rand.org/news/press/2021/01/28.html