A new comparative study on healthcare has ranked the US last behind six other industrialized countries. The Commonwealth Fund evaluated the US along with Britain, Canada, Germany, Netherlands, Australia and New Zealand on “quality, access, efficiency, equity, and healthy lives.” The study says the US has the least equitable system, while ranking near the bottom in quality of services. The US system is also the most expensive, with Americans paying more than double for healthcare per capita than any other country on the list. The Netherlands ranked first overall. Noting the 15 percent of Americans who lack insurance, the study concludes, “The lower the performance score for equity, the lower the performance on other measures. This suggests that, when a country fails to meet the needs of the most vulnerable, it also fails to meet the needs of the average citizen.”