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NEW YORK — One of the most contentious issues of the U.S. presidential campaign will be how to fix what many agree is a malfunctioning health-care system. Adding fuel to the fire is a recent study detailing the shortcomings of the U.S. health-care system compared with those of Australia, Canada, Germany, New Zealand and Britain.

The study, entitled “Mirror, Mirror on the Wall: An International Update on the Comparative Performance of American Health Care,” released by the Commonwealth Fund in New York, finds that not only is the U.S. health-care system the most expensive in the world (double that of the next most costly, Canada) but that it comes in dead last in most measures of performance.

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