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Why is US health care still the most expensive in the world after decades of cost-cutting initiatives?

By Patrick Aguilar, Managing Director of Health, Washington University in St. Louis

In announcing its “Great Healthcare Plan” in January 2026, the Trump administration became the latest in a long history of efforts by the U.S. government to rein in the soaring cost of health care.

As a physician and professor studying the intersection of business and health, I know that the challenges in reforming the sprawling U.S. health care system are immense. That’s partly for…

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