Josh Paul

54%
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39 percent of the U.S. excess is due to administrative expenses, 31 percent to higher incomes of medical practitioners, and 14 percent to additional procedures (e.g., extra tests); they are unable to allocate the remaining 16 percent of spending differences to a specific cause.
The Rise and Fall of American Growth: The U.S. Standard of Living since the Civil War (The Princeton Economic History of the Western World Book 70)
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