Whether measured against international or domestic standards, the U.S. health care system could perform much better than it does. For example, if health care costs had increased since 1980 at the rate they did in Switzerland, the United States could have saved nearly enough—about $15.9 trillion—to retire the national debt. And if the national rate of health insurance coverage were the same as the average of the five U.S. states with the highest rates, an estimated 20 million more Americans would have been insured in 2014.
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