BTW here's an interesting New England Journal of Medicine on the costs of 
Health Care administration between the US and Canada:
http://www.pnhp.org/publications/nejmadmin.pdf

to quote from the summary:

In 1999, health administration costs totaled at least $294.3 billion in the 
United States, or $1,059 per capita, as compared with $307 per capita in 
Canada. After exclusions, administration accounted for 31.0 percent of health 
care expenditures in the United States and 16.7 percent of health care 
expenditures in Canada. Canada’s national health insurance program had 
overhead of 1.3 percent; the overhead among Canada’s private insurers was 
higher than that in the United States (13.2 percent vs. 11.7 percent). 
Providers’ administrative costs were far lower in Canada.
Between 1969 and 1999, the share of the U.S. health care labor force accounted 
for
by administrative workers grew from 18.2 percent to 27.3 percent. In Canada, it 
grew
from 16.0 percent in 1971 to 19.1 percent in 1996. (Both nations’ figures 
exclude insurance-industry personnel.)


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