Health care for us all challenges the common belief that health care problems in the united states are difficult and possibly insoluble americans want to get more for their health care spending including insurance coverage for all that is personal portable and permanent they want a system that respects incentives for quality care exhibits a responsible approach to the budget and is sustainable health care for us all adopts these five objectives and applies an efficiency . Many factors contribute to our failure to disinvest from low value services and invest more heavily in high value services such as limited data on the relative value of different health care . Counterpoint in 2017 the us spent twice as much on health care 171 of gdp as comparable organization for economic co operation and development countries oecd 88 of gdp all of whom . The united states will only achieve the type of health care system that our people need and our nation deserves through a framework of health care coverage for all that is foundationally built on