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The United States spends $13,473 per person on health each year. Switzerland, the next-highest, spends $10,602. The gap between them, $2,871, is larger than what China or Brazil spends per person in total. First place is a category of one. For all of it, Americans do not live longer. US life expectancy reached 79.0 years in 2024, an all-time high. The eleven wealthy countries the US outspends average 82.7. Every one of them — Japan, Switzerland, Australia, the rest — outlives the United States while spending less, most of them far less. The money buys prices, not years. A hospital stay, a drug, a scan, an hour of a doctor's time: each costs more in the United States than in any peer country. Americans don't use much more care than the Swiss or the Germans. They pay more for the same care. |
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Health spending tracks wealth, and the top of the list proves it. Behind the United States come Switzerland, Monaco, Liechtenstein, Norway. Nine of the top ten are European. Rich societies buy more health care. That part is not a mystery. Monaco and Liechtenstein sit third and fourth. Both are tiny and rich, and a per-person figure rewards exactly that: a large health budget divided by a small population climbs fast. The same math has put both microstates near the top of half the rankings we run. The spread is the real story. The United States spends $13,473. India spends $346. China spends $1,487, less than the gap between America and Switzerland. Most of the world lives closer to India's number than to Europe's. The frontier of health spending is a rich-world club, and it always has been. |
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$13,473 The United States' annual health spending per person, in PPP dollars. It is the highest on Earth, and it is not close. |
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$2,871 How much more the US spends per person than Switzerland, the No. 2. Switzerland sits closer to Germany than to the US. |
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79.0 years US life expectancy in 2024, an all-time high. The wealthy countries it outspends live to 82.7 on average. |
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17.2% Share of its economy the US spent on health in 2024, the most of any country. The OECD average is 9.3%. |
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9 days How long US spending per person takes to reach India's entire yearly health total of $346 a person. |
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The World Bank refreshes these figures every December, so the 2024 and 2025 numbers land late this year. Two things to track. First, whether US spending clears $14,000 a person — the OECD's own measure already puts it near $14,900 for 2024. Second, whether US life expectancy, still climbing back from its pandemic low, keeps closing on the rich-world pack or stalls. Spending will stay in first place. The open question is what it buys. We'll be watching. |
