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

Nah. It's because it is a captive market. We need to pay to survive and stay in good health. So those that hold the keys to our survival make us choose between survival and money. We allow this kind of inherently coercive market to exist because a lot of people make a lot of money because of it. Most developed countries figured this out a long time ago and control the less honorable aspects of the medical market.

That, and we will spend whatever it takes to get good boner pills.