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But we also have a robust social insurance system for the poor, disabled, and Elderly in the form of Medicaid and Medicare. Each with its own constantly changing reimbursement rules so yep, there's even more jobs just to interpret these byzantine rules.So what we have is a system that is so bloated that its twice as expensive as any other country's system on Earth.in Europe, we have insurance companies as well, of course. we may bitch about them, but they are usually pretty fair.

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