they probably don't supply Viagra to impotent men...
no mri's or ct scans for every sore joint...
probably not a lot of money spent on those near death...
if you cut out all of the above, you can do a lot of preventive medicine...
and often "more" treatment doesn't mean better treatment....
and genetics might have some play here to....a small population with little immigration or illegals sneaking into the country....that alone saves billions....
See 49.