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How can the prices for quality medical care vary so greatly between different countries?

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How can the prices for quality medical care vary so greatly between different countries?

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Compare the Guatemalan and American doctors. Both studied at prestigious universities and earned advanced degrees. They perform the same procedure with the same care and skill, and work in modern world-class facilities. The American doctor, however, has to pay huge insurance premiums, staggering licensing and permitting fees, inflated rent and union – approved labor rates. If these added expenses are ten times more than what the Guatemalan doctor pays, then he will have to increase his fees to the patient at the same rate.

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