The American healthcare system is one of the most expensive and complex systems in the world, yet it remains plagued by significant inequalities. Despite spending more per capita on healthcare than any other country, millions of Americans are still uninsured or underinsured, and healthcare outcomes vary significantly by race, ethnicity, and socioeconomic status. In this conversation Dr Ali Hosin from the UK and Dr Ricardo Nuila from the US come together to discuss the increasing commodification of healthcare in the US, and how this may serve as a cautionary tale for systems such as the NHS in the UK.

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