I am not sure, and I'm not saying this is the WHOLE problem (in fact I am confident it is not), but... in 2017 (first hit I got googling) 7.9% of all healthcare

I am not sure, and I'm not saying this is the WHOLE problem (in fact I am confident it is not), but... in 2017 (first hit I got googling) 7.9% of all healthcare expenditure in the USA ($275 billion) went to insurance overhead, vs 2.8% in Canada. But yeah, in general, this is a problem (healthcare in general, healthcare expenses, nurse job experience) where almost all other countries with similar wealth are doing so much better than us, it shouldn't be that mysterious to solve it, right? It's not like, who knows if it's even possible to do better! Like, we know it is... figuring out what the difference between them and us isn't trivial, but it should be easier than something there isn't a model for. The most obvious difference would seem to be how insurance (and universal coverage thereof) is handled.