I’m a pretty proud American in a lot of measures. But there’s a new report that makes me feel a little less so.

According to this new study out this week— sought by the U.S. government’s National Institutes of Health—the United States spends more per person on health care than any other wealthy nation, but lags behind on most important health measures. The report further tells us what we have already suspected: We Americans on average die younger than people in other rich countries and are in poorer health for much of their lives.

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