@cicerone imposter,
Haven't looked at this specific report but most every report/study I have seen trashing the US puts way too much weight on out of pocket healthcare costs as a way to drive us to the bottom. Sure we could do better, but when a family of 5 is getting subsidized insurance making twice the median household income while 5 million working poor people are locked out of medicaid and subsidies, I wouldn't hold out too much hope we will do better as long as there are more likely voters to be bought off.