text: This report is perfectly in keeping with the fact that the total for most major medical procedures in the U.S. is at least 4 times the total in other advanced countries. For example, a hip replacement costs about $50,000 in the U.S. and $12,000 in Europe ($3000 in India) . Of course, the outcomes are highly and roughly equally successful in all advanced countries; just far, far more expensive in the U.S.
  
  Several websites offer cost comparisons for medical procedures abroad, for example https://www.medigo.com/  Have your favorite operation and pay for your vacation abroad!
  
  Some decade soon, the U.S. will advance to a modern, cost effective health care system (preferably single payer insurance), but certainly not while Republicans or the Trump are in power.
  
  Stephen J. Remington