Health care expenditure (HCE) in the United States stands at around $4.3 trillion annually – about 18% of its gross domestic product (GDP) (JAMA 2019;322:1501-9). A study in JAMA revealed a startling fact about this remarkable number – that nearly 20%-30% of it is wasteful (JAMA 2019;322:1501-9). This amount is more than the GDP of Norway and Portugal combined! (asamonitor.pub/3UJc6yA). Just the wastage alone could have funded the entire government Medicare program and even exceeds national military spending and the sum total of primary and secondary education spending. America ranks #1 worldwide in HCE. Our national per-capita HCE is $12,914, more than twice that of the average of the next 10 developed countries on the list (asamonitor.pub/3AafQ2I). Sadly, however, we do not even rank in the top 10 of high-performing health care systems in the world, with Norway leading the list (...

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