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Blogged about this ages ago...
About a year ago I analyzed our healthcare system in comparison with other nations in much greater detail. And, by the way, the graph you show isn't indicating whether the difference is statistically significant. They look about the same to me...which in itself is an important observation, buy I am unconvinced that the difference between Cuba and the US in your graph is anything but noise. But there are ways of testing that if you cared to do so.