The problem

You can't fix what you can't see.

America runs the most expensive healthcare system on earth and gets some of the worst results in the developed world. Here is what the public record shows.

We spend far more, and live fewer years.

United States vs. comparable high-income countries

HEALTH SPENDING PER PERSON (2024) United States $15,474 Comparable countries ~$7,400 LIFE EXPECTANCY AT BIRTH (2024) 76 80 84 3.7-year gap 79.0 United States 82.7 Comparable countries

Comparable countries: Australia, Austria, Belgium, Canada, France, Germany, Japan, the Netherlands, Sweden, Switzerland, and the U.K.

Sources: CMS · Peterson-KFF. Life-expectancy axis begins at 74 years.

The paperwork tax.

Health administration spending per person, per year · each block = $100

UNITED STATES — $925 COMPARABLE COUNTRIES — $245 Every block here is money that never reaches patient care.

Source: Peterson-KFF Health System Tracker

The blind spot

A $5.3 trillion system with no set of books.

Every visit, test and prescription creates a record of what was done, what it cost, and who paid for it. Those records sit scattered across more than a thousand insurers, each in its own format.

Imagine trying to track federal tax revenue with a thousand incompatible accounting systems. We would call it impossible. In healthcare, we call it normal.

Only a sliver of American healthcare can be studied.

Share of the population whose claims data can be systematically analyzed

10% studyable Traditional Medicare — 10% Claims can be analyzed for cost, care and outcomes. Everyone else — 90% Medicare Advantage, Medicaid, employer plans, ACA and self-pay — scattered and out of view.

Source: CMS, coverage and claims-data availability

What it costs us

The bill lands on families.

What the waste is worth.

Estimated annual waste in U.S. healthcare, against total national spending

TOTAL U.S. HEALTH SPENDING (2024) $5.3 trillion $760–$935 billion wasted every year A conservative, peer-reviewed floor. Much of it goes uncaught because no single insurer ever sees the whole picture.

Sources: JAMA, 2019 · CMS

Bring that waste into the light and the payoff is personal: clearer data could put up to $5,000 a year back in each American's pocket.

The case for clear data

41%

of U.S. adults carry debt from medical or dental bills.

KFF

1 in 2

could not cover an unexpected $500 medical bill.

KFF

Last

of 10 high-income nations on health system performance.

Commonwealth Fund

In the news

Don't take our word for it.

Major newsrooms have been documenting the same problem for years.

Take control.

This is how we build a healthcare system that finally works for the people who depend on it. If that is a future you would like to help build, we would love to keep you close.

Thank you. We will be in touch.

Occasional updates on the effort. Nothing more.

Sources

Every figure on this page.

Drawn from public data and peer-reviewed research, presented for informational purposes so anyone can check the work.

  1. CMS, National Health Expenditure Data, 2024
  2. OECD, Health at a Glance
  3. Commonwealth Fund, Mirror, Mirror 2024: A Portrait of the Failing U.S. Health System
  4. Peterson-KFF, How does U.S. life expectancy compare to other countries?
  5. Peterson-KFF, What drives health spending in the U.S. compared to other countries?
  6. JAMA, Waste in the US Health Care System (Shrank, Rogstad & Parekh, 2019)
  7. KFF, The Burden of Medical Debt in the United States
  8. KFF, Americans' Challenges with Health Care Costs