Despite spending $230m an hour on healthcare, Americans live shorter lives than citizens of almost every other developed country. And while it has the second-highest income per head in the world, the United States ranks 42nd in terms of life expectancy.
These are some of the startling conclusions from a major new report which attempts to explain why the world's number-one economy has slipped to 12th place - from 2nd in 1990 - in terms of human development.
The American Human Development Report, which applies rankings of health, education and income to the US, paints a surprising picture of a country that spends well over $5bn each day on healthcare - more per person than any other country.
I don't know exactly what's wrong with US health care. I'm sure it's not just one single thing. But I do know that if we pay more than anyone else for health care, we sure as hell ought to be doing wayyyy the fuck better than 42nd place in life expectancy.
At this point, I think we should just shake the whole system up and see what happens. How much worse can we possibly do than we are now?