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Costs across the board are higher due to structural and incentive factors - more intervention, more fee for service, etc. also, specialists' income has risen ridiculously vs. GPs .

http://www.healthbeatblog.com/2008/01/health-care-s-1-2/

http://www.vox.com/a/health-prices#chart/11

The pharma and medical instrument pricing racket is unbelievable. Took a look at the cost for our last delivery - of the $36k+ cost billed, facilities, equipment and medication were way over the billed rate of the doctors/nurses/anesthesiologists.

That number includes specialists and lab techs. It doesn't include hospital care (i.e. nurses).

You are just ignoring the profiteering done by the drug and insurance companies and the savings due to streamlining administration that a single payer system would bring.