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High US costs don't necessarily go to research and innovation, they also go to profits, ridiculous cost of supplies and high salaries and just to cover the enormous inefficiencies in the system.
A friend of mine spent some time working for the Red Cross in a childrens hospital in Kabul. There was a plastic surgeon that fly in from New York and did 4 week stints. Rebuilding chidrens faces damaged by land mine explosions. He used to joke that rich vain Americans were prepared to pay anything to stay looking young. Had no hestitation in charging them top $ to fund his charitable work.
It's admirable that he gives his time like that, but sad that it has to be paid for by rich Americans and of course the surgeon will be on a very big salary back in the US. I'm uncomfortable with the explicit and largely unregulated profit motive in US healthcare and it has created a monster that only really works well for the rich and some government employees. This profit and business mindset is creeping into UK healthcare and today Bevan could not create the NHS.
“So we beat on, boats against the current, borne back ceaselessly into the past.”