Which country has best health system in world depends on ranking, but Commonwealth Fund 2021 ranking of 11 high-income countries ranked Norway best, Netherlands 2nd, Australia 3rd, UK 4th, Germany 5th, with US last 11th, based on access, equity, outcomes and efficiency. Bloomberg Health Efficiency Index 2020 ranked Singapore best for efficiency, Hong Kong 2nd, with low spending 4% GDP and high life expectancy 84.8 years. Legatum Prosperity Health Index 2023 ranked Singapore best, Japan 2nd, Switzerland 3rd, South Korea 4th, Norway 5th. WHO ranking 2000 ranked France best, Italy 2nd. For overall best combining universal coverage, outcomes and efficiency, Norway, Netherlands and Australia often top, with life expectancy 82 to 84 years, infant mortality 2 to 3 per 1000, universal coverage and low out-of-pocket. Singapore often cited best for efficiency with mixed public-private. So best health system is Norway for overall performance, Singapore for efficiency, and Australia 3rd for high-income, with US worst among developed for access and equity despite highest spending 18% GDP and best specialist and cancer innovation if insured. Among low-income, worst are Somalia and Chad.
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