How to write a compare and contrast essay with 4 topics?

How to write a compare and contrast essay with 4 topics?
I have to write a compare and contrast essay on U.S Health Care and compare our health care system to UK, Japan and Germany. I dont know how to outline this essay or even how to start it. How do I compare and contrast more than 2 topics in an essay?

To write a compare and contrast essay:

You will need to construct an outline first. Then, for your introduction and conclusion, they must wrap up your essay into a focused topic. It must be specific and clarified.
Compare and contrast essays are the big essay types in academic writing. These essays will follow a specific question and are fairly easy to complete. There are several ways to write this type of essay. The most important thing to remember is structure. Many wonderful essays fall victim to the woes of bad structure, making any ingenuity to fall by the wayside. Go over the rules on how to write a general essay, and then structure your compare/contrast essay in one of the following formats:
Your introduction — like the five-paragraph-essay, should open generally “with a quotation, anecdote, generalization”, and lead into the thesis statement.
Topic 1:
This next portion of your essay “which may consist of one paragraph or several” should cover only the first topic of the comparison and contrast. Compare/Contrast essays take two topics and illustrate how they are similar and dissimilar. Do not mention topic 2 in this first portion.
Topic 2:
This next portion of your essay “which may also consist of one or more paragraphs” should cover the second of the two topics. Do not discuss Topic 1 in this section. Since you have already gone into great detail about it, you may allude to Topic 1 briefly; however, do not analyze Topic 1 in this section. This portion of the paper is to discuss Topic 2 in great detail.
Topics 1 and 2 Together:
Now that you have analyzed both Topic 1 and Topic 2 independently, now it is time to analyze them together. This section may also be one or several paragraphs.
The conclusion — like the introduction — should be a generalization of the thesis. This paragraph should express your certainty and absolute knowledge on the subject matter. You should reaffirm your thesis “essentially restate it in new words” and show how you’ve proven it.