Differing costs for health etc

I've noticed that in my slave country, I'm paying about 10 million to operate each hospital (in my national budget) while in my leader country, I'm paying about 20.

What is this? And how can I get costs down in my primary?

I've checked the cash log, and it seems I *should* be paying primary rates in my slave, but that I'm not. As such this may be a bonus for people with slaves.

I took a look at the health costs. One thing to keep in mind is that the number there and the numbers in "profit & loss" on the finance page is just a tool. Other than salaries, the costs do not actually occur on a monthly basis. The majority of the costs are for materials. Those are consumed on a monthly basis but you pay when your order strategy determines you are at the low-water mark for an item and places a new order for things like medical equipment, medical materials, and pharmaceutical products. You can check your monthly consumption for these items in units by checking your trade page under "products in stock: buy and sell" and if you go to the "spending" tab under finance you can see the value of the consumed products based on current market prices.

That said, it appears your slave country is underestimating the costs for the health system. On the spending page, the value of those 3 consumed products, which sho

Yea, I realized my indexes are not doing much and am working it down in my main country so that I can make a surplus without the booster income for being new, then adjusting the indexes in my slave to match that in my primary.