Yeah the US is great at acute care, but abysmal at preventative. Some of this is the behavioral on the part of the population, poor diet, minimal exercise, but a lot of it is built into the system. Docs are paid to treat, not prevent disease. Our mental health overall ranks up there with the worst of them ( China, India), and treatment is spotty due to lack of ins. coverage and highly expensive providers. We have  a food industry that cranks out a vast array of garbage that ensures there will be plenty of cases for the medical industry to treat, forever. It's a "virtuous" cycle if your an owner/stockholder of those companies, and of course everyone else picks up the tab one way or another. And yes, we do spend a horrendous amount on "end of life" care, where common sense( does it exist anymore?) would dictate it's not worth it for the patient or the country. Eventually, maybe we just go bankrupt from all the wasteful spending(  and there's that other voracious beast, the US military).