Among nations with average life expectancies of at least 70 years, per capita GDP of at least $5,000, and populations above 5 million, the USA is tied for 54^th place with Azerbaijan and ahead of only Bulgaria in healthcare efficiency. Top spot goes to Hong Kong, followed by Singapore, Spain and Italy. While the Swiss (ranked 12^th), spend $300/per capita more on healthcare than the US, they live 4.2 years longer!