We Americans just pay more for worse outcomes basically by any way you want to slice it.

We have a whole layer of leeches on our system that exist solely to suck us dry. They aren’t there to help us, they’re there only to get in the middle of us and our doctors and extract as much value as possible, even when that means using their untrained reckons or just sheer “fuck you we don’t want to pay for that” to deny treatment of doctor’s who’s literal job it is to prescribe the treatment.