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What makes the US healthcare system so expensive? Why is the US so expensive compared to Canada?

This is a follow-up question to "Paperwork costs for our health-care system now exceed $400 billion; more than $1,000 per citizen."; Why are healthcare paperwork costs so high?.

Paperwork is one part of the equation; what are the others?

And why is the U.S. so expensive compared to Canada?
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What's an assertion, and what should I type in?

Compesh is a question and answer (and debate) website, so before you make a debate, you better learn what an assertion is. I suppose you already know what a question is, and that you've typed it in the box. ;)

An assertion, is basically a statement you can make, that is either true or false.

Richer people have better health.

The question for that would be, Do richer people have better health?

And don't forget to make your assertion, match your question.

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