And “medical vacations” are on the rise. I know people who have gone abroad for heart surgery, plastic surgery and orthopedic surgery. They swear by it.

WASHINGTON (Reuters) - Americans get the poorest health care and yet pay the most compared to five other rich countries, according to a report released on Tuesday.

Germany, Britain, Australia and Canada all provide better care for less money, the Commonwealth Fund report found.

“The U.S. health care system ranks last compared with five other nations on measures of quality, access, efficiency, equity, and outcomes,” the non-profit group which studies health care issues said in a statement.

Canada rates second worst out of the five overall. Germany scored highest, followed by Britain, Australia and New Zealand.

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