The United States spends more on health care than other major countries but Americans get less for their money, according to a new report by the Commonwealth Fund. Among the 11 nations studied — Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the United States — the U.S. ranks last. Overall, the U.K. and Switzerland were rated highest for quality, access, efficiency and equity of their health care systems. Even with health care expenditures that were highest per capita, the U.S. was worst in cost of care, efficiency, equity and overall health of its citizens, the study concluded.

Sen. Bernie Sanders, chairman of a Senate subcommittee on primary health care, said the U.S. is the only major industrialized country in the world that does not guarantee health care as a right to its citizens. “Should we consider joining the rest of the world? I’d argue we should,” Sanders said at a recent subcommittee hearing on what the U.S. can learn from other countries.