[s1artibartfast]

The US has a ton of regulations that other countries don't. It tries to regulate interactions between all kinds of private companies that don't even exist in other markets. It has tougher standards restricting the supply of health care workers, preventing new hospitals from competing on price, and preventing new generics from entering the market. Also a vast amount of regulation around coupling health insurance to employers.

Most of these regulations don't exist in countries because there are top down price negotiations and/or universal healthcare.

The US regulation is the worst of both worlds.