Having lived in several other countries, I have seen first hand that other systems are cheaper (sometimes much cheaper), but also less able to deliver best-quality care. We have best-quality care in most ways, but we pay more. So not everything about it is bad, far from it. Let’s not forget that people come from all over the world to get the best care they can get – when they can pay.
I know Western Europe well. Every system in Western Europe is cheaper, but none of them gives the quality of care we have, particularly for “hard” cases.
For instance, I don’t think there is a country in Europe where the Dex is authorized for insurance (I could be wrong). For sure it is not authorized in most European countries for insurance.