For the same reason it varies across Europe.
Yes,but Europe is seperate countries,the US, *one people/nation undivisable*,or is that just more fake patriotic BS?
Thats why I kept it to the US, not muddying the waters with issues of actually doing things for the benefit of mankind,but,it would be nice to think nations did things for the benefit of their own little share of mankind.
To sort it out though you would need to rip that obscene system you have in place apart, a system where most of the money is made by people with no skills beyond shifting money around is not healthcare.
No wonder in the US Doctors come out either top or second only to Lawyers in lists of most hated profesionals,I dont think there is anywhere else in the world where Doctors would even come in the top 50 of hated profesionals and if they did they would be of the Quack type or plastic surgeons......
So,simply, the Super Rich traditionaly lived in New England (the old families) therefore the Hospitals there set up to make money charged the most, charging so much they were able to offer silly wages to Doctors and all of a sudden the incentive in US medicine is to make as much money as possible, the ones who had the most invested in them were able to specialise,with all the money floating around from Rich patrons no need to pay the bills doing boring stuff. So ,the most money is invested in one place,its all about keeping the money so of course there is still a high percentage of the *best* facilities in new England.....interestingly those Hospitals were often bastions of good old Yankee Anti Sematism hence the other top Hospitals tend to be called Mount Zion.....