Health System Dashboard

How well is the U.S. health system performing? Explore a variety of indicators of health spending, quality of care, access, and health outcomes. For more, see our brief and tutorial video.

Health Spending

Health Spending

U.S. health spending has consistently outpaced economic growth. Health spending slowed down in recent years, but the improving economy and expansion of coverage may result in an upward trend again.

Cost of Health Services

National spending on services

In recent years, spending on hospitals, physicians, and prescriptions has slowed to a similar pace.

Total Health Spending
Disease Treatment Costs

Spending on disease treatment

The top five disease-based spending categories account for half of all medical services spending by disease category.

Spending Growth

Per capita growth rate

Health spending has consistently grown faster than the economy

Access & Affordability

Access & Affordability

Most adults in the U.S. have health insurance. Still, care can often be unaffordable for those in worse health, with low incomes, and the uninsured.

Insurance Coverage

Percent insured

Despite recent gains in coverage due to the ACA, the U.S. still has the lowest insured rate of comparable countries.

Patient Experience

Wait times

Adults in the U.S. experience longer wait times to see a doctor. In 2013:


waited 6+ days, compared to an average of 19% of adults in similar countries.


Out-of-pocket spending

Out-of-pocket expenditures have grown steadily since 1970, averaging $1,093 per capita in 2016, up from $119 per capita in 1970 ($590 in 2016 dollars).

Access to Care

Usual source of care

Half of those who are uninsured report not having a usual source of care, compared to one in ten of those with insurance.

Health & Wellbeing

Health & Wellbeing

The U.S. has seen consistent improvement in measures of the longevity and quality of life, but self-reported health has worsened slightly.

Length of Life

Life expectancy

The U.S. has the lowest life expectancy among comparable countries.

Health Determinants

Teen pregnancy

The rate of teen pregnancy in the U.S. has dropped over the past 25 years.


from 1990 to 2015

Quality of life

Self-reported health

Most adults report being in at least good health, but the share reporting fair or poor health has increased slightly.

Quality of Care

Quality of Care

The U.S. health system has improved on measures of providing safe, recommended care with appropriate short-term outcomes, but not as quickly as comparable countries.

Appropriate Treatment

Preventable hospital admissions

Among adults, the rate of potentially avoidable hospitalizations has declined over time.

Health System Capacity

Physicians per capita

The U.S. has fewer doctors than most comparable countries.

Treatment Outcomes

30-day mortality following certain admissions

Mortality rates within 30 days after hospital admission have decreased slightly for some conditions.


Patient Safety

Hospital-acquired conditions

The number of hospital acquired infections occurring at U.S. hospitals has decreased.


from 2010 to 2015

Preventive Services

Immunization rates

Recently, the percent of children receiving recommended doses of vaccines has fluctuated slightly.