There are a variety of reasons, both good and bad.
The bottom line: U.S. health care is tailored to an affluent population that suffers from the afflictions of an affluent population. The solution is more individual control.
HT: Chris Pope, Manhattan Institute, writing in City Journal.
Daylight Savings Time (DST) was first adopted by Germany in 1916 to conserve fuel during World War I. Over the next couple years, it was adopted in Europe and by the United States. More than a century later, scientists have begun to realize that its negative effects on safety and human health outweighs any benefits that it provides. As an aside, I wonder what took scientists 100 years to figure that out.
Imagine spending eight years after high school studying for your dream career. You apply to every medical school you can think of. If you don’t get into a cheaper state school, you apply to more expensive private medical schools. Some aspiring physicians even apply to schools in other countries. When you finally graduate you must then apply for graduate medical education (GME) training programs, which are required before you can practice medicine in all 50 states.
I calculated what my ($4,000) Costa Rican dental work in 2021 would have cost in the United States. My back of the envelope math is about $12,000. Previous trips cost about $2,000 if I recall, including the implant, oral surgery with bone graft, panoramic x-ray, deep cleaning and two crowns. Basically, what would have cost more than $18,000 in Dallas was about $6,000 in Costa Rica. The quality is great and it was one-third the price.