[Ed. note: Notice anything missing from his list?]
Paul Solman: Why does health care cost so much in America?…
David Cutler: … Just to give you one example, Duke University Hospital has … 1,300 billing clerks. The typical Canadian hospital has a handful of billing clerks. Single-payer systems have fewer administrative needs….
The second reason … is that the U.S. spends more than other countries do on many of the same things. Drugs … cost much more in the U.S. than in other countries…. [D]octors also earn more for doing the same thing in the U.S. than they do in other countries, and a lot of suppliers charge more for things like durable medical equipment in the U.S. than in other countries….
The third one is Americans receive more medical care than people do in other countries, not so much in terms of doctor visits, but if a person has a heart attack in the United States, they’re much more likely to get open heart surgery than they are in most other countries.