While the quality of healthcare in the U.S. is 37th worldwide, healthcare spending as a percentage of GDP is second only to Marshall Islands. Much of the money spent on healthcare in the U.S. is not for medications, tests or treatment, but for administrative costs. Countries that have cut healthcare administration costs spend less on healthcare, yet many have much better quality healthcare than the U.S. — thus the growth in medical tourism. Further compounding matters in the U.S. is the impending shortage of nurse practitioner careers, which is driving up their salaries.
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