United States | Commonwealth Fund

Health care spending in the United States, as a proportion of gross domestic product, is significantly higher than in other high-income countries, yet health outcomes are far worse. For example, average life expectancy is lower than in peer countries, while avoidable death rates are higher.

Systemic inequities lead to pronounced disparities in care and outcomes for many racial and ethnic minority groups, low-income families, and rural populations.

Health system challenges include rapidly rising costs caused in part by market consolidation, inconsistent access to primary and specialty care, and administrative complexity.