There are several factors that you have to look at to understand why US costs are higher. Yes US Doctors make more but, they pay out huge amounts for malpractice insurance... Solution: Tort reform.
US drug companies charge all R&D costs to US consumers and all other countries get a free ride and much lower costs as a result.
The Failure in Chief spent a lot of time in closed door meetings with reps from big pharma and the insurance companies. The result? Our costs went up and they endorsed his bill. We need to shine a light under that rock and find out what he promised them.