Defenders of organized medicine are fond of saying that the United States has the best healthcare in the world, but I challenge that. I don’t think we have the best healthcare in the world, I think we have the most expensive healthcare in the world. In fact, in terms of results for dollars spent, I think the United States ranks very near the bottom of the list of all industrialized nations. We get less actual health than anyone else for each dollar that we spend. This realization is now hitting the general public as well, and they are increasingly leaving this country to find offshore locations and assess quality medical care and surgical procedures elsewhere.