re: "Americans spend more on health care than anyone". What if it is due to consumer choices?

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it could be a factor in our health care spending.

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Unlike a lot of developed countries we have healtcare providers, health insurance companies, etc... with stockholders needing to see profits go up and up.

We are also one of the few countries where pharmaceuticals spend hundreds of millions direct marketing prescription drugs to the consumer... you know... "ask your doctor about X".

While our healthcare in the U.S. is certainly advance in many ways it is also has some pretty big inefficiencies as well.