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OECD 2025 data confirms the spending-outcome paradox with precise international benchmarking: US spends $14,885 per capita (2.5x OECD average $5,967) and 17.2% of GDP (vs 9.3% OECD average), yet life expectancy is 78.4 years—2.7 years below OECD average. The preventable mortality gap (50% worse than OECD) is more than double the treatable mortality gap (23% worse), demonstrating that the primary failure is non-clinical. US clinical care quality is internationally competitive on acute conditions (AMI, stroke), but behavioral and social determinants drive the aggregate underperformance. OECD 2025 data confirms the spending-outcome paradox with precise international benchmarking: US spends $14,885 per capita (2.5x OECD average $5,967) and 17.2% of GDP (vs 9.3% OECD average), yet life expectancy is 78.4 years—2.7 years below OECD average. The preventable mortality gap (50% worse than OECD) is more than double the treatable mortality gap (23% worse), demonstrating that the primary failure is non-clinical. US clinical care quality is internationally competitive on acute conditions (AMI, stroke), but behavioral and social determinants drive the aggregate underperformance.
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*Source: PR #3929 — "us healthcare spending outcome paradox confirms non clinical factors dominate population health"*
*Auto-converted by substantive fixer. Review: revert if this evidence doesn't belong here.*
## Supporting Evidence
**Source:** OECD Health at a Glance 2025
OECD 2025 data quantifies the spending-outcome paradox with precision: US per capita spending is $14,885 (2.5x OECD average $5,967), GDP share 17.2% vs 9.3%, yet life expectancy is 2.7 years below OECD average (78.4 vs ~81.1 years). The preventable mortality gap (50% worse than OECD) is more than double the treatable mortality gap (23% worse), demonstrating that the primary failure is non-clinical. US acute care quality (AMI, stroke) meets or exceeds OECD standards, confirming the paradox is not about clinical capability but about behavioral and social determinants.
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# The US healthcare spending/outcome paradox — world-class acute care outcomes with dramatically worse preventable mortality — is the strongest empirical confirmation that non-clinical factors dominate population health # The US healthcare spending/outcome paradox — world-class acute care outcomes with dramatically worse preventable mortality — is the strongest empirical confirmation that non-clinical factors dominate population health