Our outputs don't look too bad - the inputs (i.e., total medical cost per person) are still terrible. Consider the following:
"A few years back, Robert Ohsfeldt of Texas A&M and John Schneider of the University of Iowa asked the obvious question: what happens if you remove deaths from fatal injuries from the life expectancy tables? Among the 29 members of the OECD, the U.S. vaults from 19th place to…you guessed it…first. Japan, on the same adjustment, drops from first to ninth."
If you fixed the fatal injury output (i.e., education, safety engineering, gun control, get a better handle on sustance abuse, etc.), you will probably also help with our input problems.