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Health care in the United States is provided by many separate legal entities. Including private and public spending, more is spent per person on health care in the United States than in any other nation in the world. A study of international health care spending levels published in the health policy journal Health Affairs in the year 2000, found that while the U.S. spends more on health care than other countries in the Organisation for Economic Co operation and Development (OECD), the use of health care services in the U.S. is below the OECD median by most measures. The authors of the study conclude that the prices paid for health care services are much higher in the U.S.[2] In 1996, 5% of the population accounted for more than half of all costs.