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Why is US health care still the most expensive in the world after decades of cost-cutting initiatives?

  • Written by Patrick Aguilar, Managing Director of Health, Washington University in St. Louis
Why is US health care still the most expensive in the world after decades of cost-cutting initiatives?Two-thirds of Americans are very worried about being able to pay for their health care. Morsa Images/DigitalVision via Getty Images

In announcing its “Great Healthcare Plan” in January 2026, the Trump administration became the latest in a long history of efforts by the U.S. government to rein in the soaring cost of health care.

As a...

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