It’s not just how much you spend on healthcare, but what that spending actually delivers. How much does an emergency room visit cost in the U.S. compared to the UK or France? How do prescription drug prices in the U.S. compare to those in the EU? When you look at what Americans pay relative to outcomes, the U.S. has one of the most inefficient healthcare systems among OECD countries.

If you want to see an efficient healthcare system in a rich country, have a look at Singapore. They spend far less than eg the UK.