Which country has best to worst healthcare in world depends on ranking, but according to Commonwealth Fund 2021 ranking of 11 high-income countries, best healthcare is Norway, Netherlands and Australia top 3, worst is USA ranked last 11th for overall performance including access, equity and outcomes, despite highest spending. Bloomberg Health Efficiency Index 2020 ranked Singapore best for efficiency, Hong Kong 2nd, Australia 8th, USA 54th. Legatum Prosperity Health Index 2023 ranked Singapore best, Japan 2nd, Switzerland 3rd, Australia 12th, USA 69th. WHO ranking 2000 ranked France best, Italy 2nd, Australia 32nd, USA 37th. For worst healthcare, low-income countries like Somalia, Chad and Central African Republic have worst due to low life expectancy 55 years, high infant mortality 80 per 1000 and lack of doctors. Among developed nations, USA is often ranked worst for overall system performance despite being best for specialist and cancer treatment speed and medical research. So best healthcare countries are Norway, Netherlands, Australia, Singapore and Switzerland for universal coverage and outcomes, worst among developed is USA for access and equity, and globally worst are Somalia, Chad and Lesotho for lack of infrastructure. So ranking varies, but Norway and Australia top, USA bottom among rich, and sub-Saharan Africa bottom globally.
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