Mostly costs from insurance and private industry charging prices that are just insane.
Also don’t cry when you see the life expectancy vs per capita cost… Germany is #2 cost wise and we’re still 4k over what they spend on their people. We literally spend so much and get so little in return.
On a per person basis, U.S. health spending is nearly double that of similarly large and wealthy nations. In 2022, the U.S. spent over $4,000 more per capita on healthcare than the next highest spending country. Meanwhile, the U.S. has the lowest life expectancy among peer countries.