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Most of us in the US don't understand that either. How we can pay more per person than any other country in the world and still have well over 1 million americans travel to other countries to get medical procedures done they can't afford in the US. I suspect more americans travel overseas for medical care than canadians travel to the US.
Heck they are even calling it a medical vacation and whole travel agencies set them up for americans to foreign hospitals
No families take so little medicine as those of doctors, except those of apothecaries.