Dr. Glen Stream prepares to examine patient Pete Forsyth in Spokane, Wash. (AP Photo/Nicholas K. Geranios)

Despite having the most expensive health care system, the United States ranks dead last in the quality of its health care system when compared with 10 other western, industrialized nations, according to new analysis out Monday.

It’s the fifth consecutive time the United States has ranked last by reports ranking health care by the Commonwealth Fund. While other countries compared in the analysis have improved over the last decade, the U.S. has not, keeping with its lowest performance, while also spending far more on health care costs per person than any other country.

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