The U.S. health care system is certainly unique, distinguished from that of other western countries by its high costs and the important role it assigns to private insurers.

But a new study shows that there is at least one major similarity between the U.S. system and the largely socialized alternatives elsewhere: Most of it is paid for by the government.

A study published in the American Journal of Public Health found that 64.3 percent of health care expenditures in the U.S. in 2013 were paid for by federal, state and local governments. That is up from 1999, when taxpayers were picking up 59.8 percent of the tab.

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