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There are over 50,000 printers in the US. (probably 40,000 of these printers can print a book). However, there are only about 100 printers classified as "book printers." The difference between the 100 and the 40,000 is that a book printer is much more efficient at producing a book than a commercial printer who can print books. It boils down to price. Sure it's nice to be able to work with local book printing company but the price difference is usually substantial (often 20 to 40 percent more). In today's tight market, you can't afford to spend any more than is absolutely necessary on printing.