1. USA Healthat a Glance Highlightsfrom the OECD report Disclaimer:Thefollowingpresentationis not published by the OECD and do not necessarily represent the official views of the Organisation or of the governments of its member countries

2. Main characteristics The USA society isfacingspecifichealth challenges. The system isexpensive. The system isuniquelyfinanced. The outcomes are close to OECD average.

3. HEALTH OF THE AMERICANS: the SOCIO-CULTURAL CONTEXT

4. American children do not drink, do not smoke, and exercise.

5. American children However, they are more affected by weight issues.

6. Alcohol, tobacco and weight Similarly, adults drink and smokesignificantlyless, but are more likely to beaffected by obesity.

7. Costs of the health system

8. The USA system is the mostexpensive in the OECD In 2007, the USA spent 7290 USD per capita on health

9. The USA system is the mostexpensive in the OECD That represents 16% of their GDP.

10. The USA system is the mostexpensive in the OECD If USA expenditure on health in terms of GDP were consistent withthose of otherOECD countries, itwouldspend $3000 less by year.

11. FINANCING AMERICAN HEALTH CARE

12. The main source of healthfinancingisprivate In contrastwithmost OECD countries where ¾ of healthfinancingis public, in the USA, the public shareislessthan 50%.

13. The role of privatehealthinsurance The USA is the country where the share of privatehealthinsuranceis the highest.

14. Sources of healthfinancing However, itonlyrepresents a third of all healthexpenditure.

15. The share of out-of-pocketexpenditure In the USA, the share out-of-pockethealthspendingsisbelowaverage.

16. Exposure to large out-of-pocketexpenditures Still, manyAmericans have to pay over USD 1,000 per year, and few don’tpay out-of-pocketexpensesat all.

17. Catastrophicexpenditures Catastrophicexpenditures are defined as thoseexceeding 40% of the income of a household, aftersubsistenceneeds are met. One American household out of 200 isconcerned.

18. Unmethealth care needs In the USA, 52% of the population belowaverageincomedid not accesshealthcare whentheyneeded to because of costs.

19. OUTCOMES OF THE SYSTEM

20. Life expectancy Life expectancy in the USA isvery close to OECD average.

21. Life expectancy as a return on healthexpenditure But compared to the cost of theirhealth system, Americanscouldexpect to live 5 years longer.

22. Premature mortality Prematuremortality, whichismeasured by the collective numbers of yearsthatwould have been lived if people whodiedbefore 70 hadlived up to thatage, isslightlyabove the OECD average.

23. Subjective perception of health Almost 90% of the American population considersthemselveshealthy. This is an excellent figure compared to other OECD countries.