: Why are healthcare costs so inflated in the USA? I have seen much more inexpensive non-socialized medicine in places such as Puerto Rico, with equal or greater standards of care and outcomes. I would like to understand why

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There are several reason actually, I will try to sum it for you:

Doctors in USA is very careful when dealing with patient. They may require several test and check before make the decision about the treat that patient need to take.
High administrative cost. Government in most of the developed countries play roles to rule the cost of medicare, but medical care in USA is different due to lack of political support for the government taking a larger role in controlling healthcare costs.