Well that is a massive difference from “it’s worse”. If Americans are paying so much more than other countries on their health care for something that isn’t leaps and bounds better, then they are getting fleeced. And given how many health outcomes in the US are fairly middling for a country of its size and wealth, it’s not a stretch to assume the health care isnt actually better. At the very least, you can conclude that whatever benefits their are to our stupendous health care are more than offset by the damage done by the prohibitive cost. Fantastic health care isn’t fantastic if people can’t afford it.