. health care specialists are among the best in the world. However, treatment in the . is inequitable, overspecialized, and neglects primary and preventative care.  The end result of the . approach to health care is poorer health in comparison to other advanced industrialized nations. According to the Commonwealth Fund Commission, in a 2014 comparison with Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the ., the . ranked last overall. In terms of quality of care, the . ranked fifth, but came in last place in efficiency, equity, and healthiness of citizens’ lives.  Comparing other health care indicators in an international context underscores the dysfunction of the . health care system.