They spend more and get less, look at the deliverables not the money spent. The US also has among the highest costs of healthcare, of course they spend more, it costs 30k to have a baby there, that doesn't mean they're getting child bearing care Europeans are not.

The reason we have companies with this much power is that the government stays out of healthcare and doesn't help negotiate prices. Probably because they're busy finding lower bidders for their Military projects. Theres no world in which US citizens don't incur suffering to fund their military. The US even at peacetime is running more military operations than the next ten militaries if you count all their overseas bases. All of that takes time money and labor away from social needs, necessarily.