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People who have completed their graduation whose medium of instruction is English and located in USA, UK, Canada, Australia, New Zealand, Singapore are exempt.
It may be noted that those who have formally completed an undergraduate or graduate program in countries where the common language of education is English may also be exempt from submitting TOEFL score though the regulations may vary from university to university.
First of all, tuition at many public colleges and universities is about $5000-$6000 per year. You only get up to those higher figures if you are going to a private school or are adding in room and board and textbooks.
There are a couple of reasons why it is so expensive. The biggest reason is because it costs money to provide education. One of the largest chunks of a college’s budget is health insurance and benefits for its employees. As you know, in the US, employers are responsible for a part of the insurance and insurance costs in the US are very high. Also, many US colleges have dorms and students live on campus. This adds to the cost. I would also point out that colleges and universities are not highly-subsidized in the US. While they do receive some state and local funding, they also rely on tuition for a part of their revenue. We tend to like to offer financial aid on a per student basis rather than subsidizing the whole college.