The U.S. health care system ranked last among 11 wealthy countries despite spending the highest percentage of its gross domestic product on health care, according to an analysis by the Commonwealth Fund. Researchers behind the report surveyed tens of thousands of patients and doctors in each country and used data from the Organization for Economic Cooperation and Development and the World Health Organization (WHO). The report considered 71 performance measures that fell under five categories: access to care, the care process, administrative efficiency, equity and health care outcomes.

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