The low scores come despite a significant investment in prevention. Only Canada spends more on prevention and public health than the U.S., the survey says.
Above-average spending in the U.S. is driven not just by the heavy use of outpatient services such as diagnostic tests, the report said, but also the price of those services.
“Prices in the U.S. are higher across the board,” the report states. “U.S. general practitioners, specialists, and nurses are paid significantly more than physicians in other countries.”