During the past 3 decades, international comparisons of medical spending and population health outcomes have become a common feature of US health policy debates. Most often, these contrasts are cited as prime evidence of shortcomings in the cost-effectiveness of health care in the United States, where medical expenditures dramatically exceed those seen in other developed nations despite comparable or worse performance on commonly cited public health metrics such as life expectancy or infant mortality.
Neuman MD, Fleisher LA. Evaluating Outcomes and Costs in Perioperative Care. JAMA Surg. 2013;148(10):905-906. doi:10.1001/jamasurg.2013.2266