I don't know. A number of things affect the cost of medical care. As the General Accounting Office noted the Costs of Healthcare: 1] Technology up to 65% 2] Consumer Demand up to 36% 3] Expanding Health Benefits or Insuring more people up to 13% 4] Healthcare Price Inflation up to 19% (caused by Consumer Demand and insuring more people) 5] Administrative Costs up to 13% (caused by Technology, Consumer Demand and Regulations) 6] Aging/Elderly up to 7% Medical technology is a different animal because there is no economy of scale. We can contrast it. There are 128 Million households in the US, but only 5,324 hospitals. 31% have one car, 35% have 2 cars and 35% have 3 cars. Altogether, there are 278 Million registered vehicles. That's why cars start at $12,000 and up and MRIs start at $500,000 and up. If you were producing MRIs for 128 Million households, MRIs would cost $15,000-$20,000 each because now you have economy of scale and you're producing MRIs on an assembly-line instead of by hand or with a team of 2-4 people and you're no longer making them on-demand. There are implications from that because medical technology is obsolete within 3-5 years. A hospital is not going to spend $500,000 only to have the 2nd generation come out 3 years later and the 3rd generation 2 years after that. Instead, hospitals lease MRIs from a supplier/wholesaler because leases are expenses and not assets. So you buy 20 MRIs to lease to local hospitals. You $10 Million in cash laying around? Nope. You gotta borrow from the bank, except the bank isn't gonna give you a 30-year loan knowing those MRIs will be 3-4 generations obsolete within 10 years. You'll have to get a 1, 2, 3 or 5 year loan. What do you do with your obsolete MRIs? You dump them on 2nd/3rd/4th World States like Romania, South Africa, Egypt, India, Venezuela, Thailand and such for whatever you can get. You have to lease those MRIs at a price that will: 1) Cover the cost of the MRI 2) Cover the cost of loan servicing 3) Cover your operating expenses 4) Give you a profit That affects the prices hospitals charge, because hospitals can run MRIs or PETs or CT scanners or any other technology 24/7. Why? Because there's an artificial labor shortage. Why? Because hospitals are monopolies. In a Free Market System, 50% of the 5,234 hospitals would be closed within a year. Would Americans suffer? Nope, because Americans would get better healthcare for less cost. A typical American hospital offers Allergy, Anesthesia, Bariatric Medicine/Surgery, Burn/Trauma, Cardiac Catheterization, Cardiology, Cardiovascular Surgery, Colorectal Surgery, Dermatology, Electrophysiology, Emergency Medicine, Endocrinology, Family Practice, Geriatrics, Gynecologic Oncology, Hematology/Oncology, Hepatobiliary, Infectious Disease, Internal Medicine, Interventional Radiology, Neonatology, Nephrology, Neuroradiology, Neurology, Neurosurgery, Nuclear Medicine, Obstetrics & Gynecology, Occupational Medicine, Ophthalmology, Otolaryngology/Head & Neck Surgery, Palliative Care, Pathology, Pediatrics, Pediatric Surgery, Plastic & Reconstructive Surgery, Podiatric Surgery, Psychiatry, Pulmonary Medicine, Radiation Oncology, Radiology, Rheumatology, Surgical Oncology, Thoracic Surgery, Transplant Surgery, Wound Care, ENT, General Surgery, Gastroenterology, Oral/Dental Surgery, Orthopedic Surgery, Pain Management, Urology and Vascular Surgery to name but a few. There are no hospitals in Europe that look like that. A typical Euro-State would take Cardiac Catheterization, Cardiology, Cardiovascular Surgery, and Pulmonary Medicine and group them together to create a Polyclinic. They would take Gynecologic Oncology, Hematology/Oncology, Radiation Oncology, and Surgical Oncology and group them together to create a Polyclinic. They would take Neonatology and Obstetrics & Gynecology and create a Clinic They would take Pain Management, Wound Care and Palliative Care and create a Clinic. Would such a Clinic need an MRI? Nope and for the same reason it wouldn't need PET or CT scanners, or nuclear medicine or a NICU (Natal Intensive Care Unit) or a Level I Trauma Center. Healthcare in America is like paying for an extra-large pizza with everything on it and getting only a small cheese pizza. And the American Hospital Association and Physicians for Nazi Healthcare is the reason why and you can't be like Euro-States because when they wrote Obamacare, they included Sections 6000, 6001, and 6002 to ban clinics and polyclinics which is what Euro-States use to save money. You healthcare system is the Feudal Economic System. The AHA are the greater nobles, hospitals are castles, and doctors are the lesser noble vassals. The Feudal System was a dismal economic failure, so why would it possibly work for a healthcare system? In a single-payer system in America, no one saves money. All it would do is spread the pain around, and even that wouldn't be so bad except it creates even more pain. Only the States have the power to move healthcare from the monopoly/cartel system to the Free Market System. Free Market is not about calling hospitals whilst having a heart attack to see which one is cheaper, it's about the efficient use of resources. Monopolies are inefficient and Americans are paying the difference between the cost of monopoly and the cost of Free Market care. Quite right.