Mirror, Mirror 2024: A Portrait of the Failing U.S. Health System — Comparing Performance in 10 Nations

Table of Contents

• Health System Performance Overview 4
• Health Care System Performance Rankings 4
• The United States lags its international peers considerably on health system performance. 4
• The United States lags its international peers considerably on health system performance. 4
• Health Care Spending as a Percentage of GDP 19802023 5
• Health Care Spending as a Percentage of GDP 19802023 5
• Health Care System Performance Compared to Spending 6
• Health Care System Performance Compared to Spending 6
• How Countries Did on Each Performance Domain 6
• Americans face the most barriers to accessing and affording health care. 7
• Americans face the most barriers to accessing and affording health care. 7
• The U.S. is among the top performers for care delivery process. 8
• The U.S. is among the top performers for care delivery process. 8
• U.S. physicians and patients are most likely to face hurdles related to insurance rules billing disputes and reporting requirements. 9
• U.S. physicians and patients are most likely to face hurdles related to insurance rules billing disputes and reporting requirements. 9
• The U.S. and New Zealand trail peers for equity in health care access and experience. 10
• The U.S. and New Zealand trail peers for equity in health care access and experience. 10
• Americans live the shortest lives and have the most avoidable deaths. 12
• Americans live the shortest lives and have the most avoidable deaths 12
• What the U.S. Can Do to Improve 13
• Although the U.S. health system has many 14