One axiom that is foundational when trying to upgrade or improve existing public services: Always do the research to discover what is the current state of the art. There is often an example to draw from for new and best practices.
U.S. Health Care from a Global Perspective, 2026
Countries around the world are grappling with the shared challenges of rising health care costs, physician burnout, and aging populations.1
Yet the United States has long been an outlier in several respects. The U.S., on average, has the poorest health outcomes of any high-income country, and among the poorest of the high- and middle-income nations belonging to the Organization for Economic Co-operation and Development (OECD).
Lack of universal coverage, weak primary care infrastructure, high out-of-pocket costs, and a complex insurance system contribute to and exacerbate the nation’s uniquely poor performance relative to its peers.
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Denmark, Germany and Japan are excellent places to find a better roadmap. They consistently outperform the U.S. on many measures of health — their residents live longer, have healthier babies and suffer far less from chronic illness.
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