Letters to the editor can be a platform for experts in their fields to share perspectives on debated issues of the day. As a healthcare professional, you are uniquely positioned to compare the United States to other health systems around the globe. Despite the high expenditures in the United States, outcomes are still poor compared to other nations. Why is there a mismatch between healthcare spending and outcomes in the United States? How does the United States compare to other developed and developing countries?

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