1. Medicare only covers the most expensive in terms of health care costs demographic. Knowing nothing else I’d expect having more people on Medicare to correspond with higher costs per capita. We make 25 year old men who statistically have nearly no healthcare costs buy insurance while providing it to their 90 year old grand parent.

2. Medicare was not allowed to negotiate drug prices until this year. Drug comonies basically got to wr8te themselves checks. In some ways the Us taxpayer subsidizes drug development for the whole world.

I suspect demographics are part of why Florida hospital costs are so high. The youngest state in the USA is Utah. The state has a median age of just 31. They have some of the least expensive hospitals in the country.