The United States spends significantly more per capita on healthcare than any other country, roughly 18% of our GDP or more than $8,000 per person per year. This fact weighs heavily on our competitiveness in business, as we have reached the point where many American companies pay as much, or more, to provide heath insurance to their workers as to make their products. General Motors, for example, pays more for healthcare of its employees than it does for steel. Perhaps even more concerning is that the United States has the highest healthcare spending growth rate in the world, a fact which does not bode well for our future. The nonpartisan Congressional Budget Office, in fact, estimates that healthcare spending will almost double to 31% of our GDP—almost one third of our economy—by 2035 if the present rate of growth in healthcare cost continues. Despite this expenditure, the United States does not provide better healthcare to its people than other developed countries. Fifty million Americans are uninsured another 25 million are underinsured  ,and the United States consistently ranks below most other developed nations in such important metrics as patient safety and outcome. One has to ask where all this money is going. Why are we spending so much and get so little in exchange?