With so much attention focused on efforts to reform health care in the United States, it is easy to lose sight of the even more daunting health problems faced in other parts of the world. Many poor countries fail to provide even the barest minimum of health services to their citizens. Annual per capita health spending in the United States is greater than combined per capita health care spending in the poorest 70 countries. Living conditions in many places are grim, and life expectancies in developed nations are 30 years longer than in developing countries.