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All had rates of more than 100 discharges per 1,000 Medicare beneficiaries. States with particularly low prices included Washington, Utah and Hawaii. AMERICA spends more than $2 trillion annually on healthcare. While overall life expectancy has improved, many individuals fail to get the most appropriate treatment. Some get too much care. Others get inadequate. ‘Despite having the most expensive healthcare system in the world, patients are subject to too many mistakes, an excessive amount of miscommunication and too much inequity,’ said Dr. Risa Lavizzo-Mourey, cEO and president of the foundation. She said the amount of money allows communities to bring doctors together, employers, others and individuals to determine which chronic ailments would be targeted.