Every time this comes up I share a link to the McKinsey study from 10 years ago. You can google it. It’s worth a read, it’s an insightful analysis. They basi

Every time this comes up I share a link to the McKinsey study from 10 years ago. You can google it. It’s worth a read, it’s an insightful analysis. They basically adjust spending by GDP, then compare the US to other OCED nations, then split spending across a dozen categories of healthcare spending. The biggest cost driver? Out-patient procedures. It’s not just that it costs more (it does), but volume is way higher than other countries and one of the biggest drivers of the higher spending seen in the US. For in-hospital care, the US is marginally higher. Drug spending is higher, but it’s 50% more for 10% of spending, so marginal. It’s lower in durable equipment spend. And much higher in R&D spend, though the impact isn’t huge. Americans get a lot more out-patient procedures than other countries. That’s the biggest cost driver of US healthcare. Is it cost effective? Not sure that’s been answered yet.