The U.S. came in last in three of five categories—equity, health outcomes, and access to care—in addition to having the poorest overall ranking.

Australia, the Netherlands and the United Kingdom were ranked the highest overall, according to the Commonwealth Fund report.

The US spends more on health care than any other high-income country, but a new report suggests that “Americans are sicker, die younger and struggle to afford essential health care.”

Americans have the worst health care among the world’s wealthy nations, a new report says. People in the United States die the earliest and live the sickest lives out of 10 developed countries, even though the United States spends the most on health care,