This report offers the first ever scorecard of how the US health care system compares, as a whole, to top performers in 37 categories. Despite spending the most on health care, the United States lags behind other industrialized nations on many dimensions of health system performance. The report identifies the most critical sources of failure in the current US health care system and offers a strategic framework for addressing them that includes significantly expanded access, higher quality, and greater efficiency for all Americans.

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