Occasionally, as a counter to not doing anything about our non-existent healthcare system, a politician will use nationalist rhetoric as a dodge, asserting that the United States has the best healthcare in the world. In reality, we have a Darwinian jungle of insurance companies, Big Pharma, and Big Medicine all preying on the wallets of unsuspecting Americans. The result is undoubtedly the most expensive health care in the world. But it's a patchy, confused mess of insurance plans modulated by various state and federal laws delivering a product of questionable quality.

I decided to do a little research on this. The Organisation for Economic Co-operation and Development, known as the OECD, is an international consortium of primarily highly developed countries. Its goals are to stimulate economic progress and world trade. They offer extensive data on member states' economies and national well-being at OECD Data.

In January 2022, I downloaded data sets on national expenditure on healthcare and two measures of national health: life expectancy at birth and neonatal death rates. I created some bar charts of my findings, which I share here. The data for GDP and life expectancy are for 2019. The neonatal death rates are from 2018 because 2019 data from the United States was unavailable.

The first corroborates something pretty much all of us know. We have the most expensive health delivery system in the world. The first graph displays national expenditure on health care as a percentage of gross domestic product or GDP. In the cost department, the United States runs away with first place. Compare this with the costs for some countries renowned for the "socialized" healthcare systems, Japan and the Scandinavian countries, Canada, and the United Kingdom.

percent gdp 1

Now that we have an idea of the costs consider performance measurements. Two come to mind: life expectancy at birth and neonatal death rates.

First is life expectancy at birth by country. U.S. performance here is dismal. Of the countries that I highlight, only Russia's performance is worse. Note that every country to the right of the United States has free and universal health care.

life expecancy 3

Lastly, consider neonatal death rates by country. The U.S. performance is a disgrace for a country that prides itself on family well-being. As with life expectancy, Japan leads the way, followed by "socialist' Scandinavia.

neonatal 2 1

In an era of conspiracy theories, alt-facts, and believing whatever makes you feel good, America will continue to weaken unless we adopt fact-based, empirical approaches to decision-making. This is particularly true in health policy and response to global warming.