We present data from the Organization for Economic Cooperation and Developm
ent and the World Health Organization on the performance of the health care
systems in twenty-nine industrialized countries in 1998. We also compare t
he performance of the United States with the other industrialized countries
for selected indicators in 1960, 1980, and 1998. On most indicators the U.
S. relative performance declined since 1960; on none did it improve.