“Although the United States spends more on health care than any other nation, a growing body of research shows that Americans are in poorer health and live shorter lives than people in many other high-income countries. U.S. Health in International Perspective synthesizes available research, taking an in-depth look at this disadvantage in health and lifespan. Why is the United States falling behind? The report finds that America’s health disadvantage probably results from a combination of factors: inadequate health care systems, unhealthy behaviors, social and economic factors, and environmental factors, such as metropolitan landscapes that encourage car use rather than exercise.”