While Medicare and Medicaid negotiate prices for health services–as do governments or regulated insurers in most other countries –the private insurance market in the US creates a free-for-all in which “providers largely charge what they can get away with.” This means inflated prices for everyone with private insurance, and even higher prices for the uninsured. For services ranging from CT scans to heart surgery to delivering babies, Americans are paying far more than their counterparts abroad with no difference in quality.
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