As the largest supporters of the Democrat party ( the lawyers) why more is spent in the US.  In most countries with one payer systems there is very little malpractice suits. Much of the cost of health care is for insurance and payouts.  Also would you wait 20 weeks for brain surgery as in Canada? As usual the socialist "free stuff" clouds people's minds. Look at the average wait for treatment in these countries and look how many are denied treatment.  If one payer was so good why do people from these countries come to the US for treatment if they can afford it?