Story perspectives

US Healthcare: Highest Spending, Worst Access and Affordability

11/28/2025

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Summary

Story summary

The United States spends more on healthcare per capita than any country; affordability and access remain issues.
During the shutdown, disagreements over subsidies led U.S. President Donald Trump to postpone an Affordable Care Act (ACA) subsidies announcement.
Commonwealth Fund ranks the United States as having the worst health system among ten high-income countries.
Analysts say Europe’s models offer lessons but cannot be replicated in the United States due to differences.

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Story summary

The United States spends more on healthcare per capita than any country; affordability and access remain issues.
During the shutdown, disagreements over subsidies led U.S. President Donald Trump to postpone an Affordable Care Act (ACA) subsidies announcement.
Commonwealth Fund ranks the United States as having the worst health system among ten high-income countries.
Analysts say Europe’s models offer lessons but cannot be replicated in the United States due to differences.