Does America spend nearly double per individual with worse health outcomes when compared to similarly developed countries, as Rep. Josh Breechen claimed?

A 2025 Organization for Economic Co-operation and Development report found that the U.S. was the highest spender on health per capita, spending 2.5 times the OECD average, while having below-average outcomes across several metrics. 

U.S. health expenditure was $14,880 per person, about 133% the expenditures of Switzerland, Norway and Germany, the next three highest spenders. All three countries exceed the OECD average life expectancy of 81.1 years, while the U.S. life expectancy is 78.4 years. 

The U.S. had notably worse statistics compared to the OECD averages in terms of cancer incidence rates, percentage of people living with multiple chronic conditions, and share of population eligible for coverage. 

Higher payments to hospitals and physicians accounted for 80% of the difference in spending between the U.S. and comparable countries, though administrative and drug spending also contributed.