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America is the world’s preeminent nation in the field of health care.

David Goldhill: U.S. spends twice as much per person as other wealthy countries on health care. He says the absence of price controls and profit drive of doctors and hospitals allow innovation to spread risk. Our only hope is to put in place more sensible economic structures to bring prices down, he says. The United States spent more on pharmaceutical products in 2020 than all other top spenders combined. The pharmaceutical industry earns almost 50 percent of its worldwide revenue in the U.S. Canada’s total spending is comparable to the revenue of a single American company, United Health.