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The US spends more than twice as much per capita on health care as any other nation, yet it ranks at or near the bottom in life expectancy, patient satisfaction, and percent of the population covered by health insurance among developed nations. Those nations with the highest life expectancy spend only a quarter to a third as much on health care as the US. There are many historical reasons that a system that once led the world is now teetering on the verge of economic collapse. Many of those reasons are not appreciated by the general public, health professionals, or legislators. This presentation will discuss the underlying causes of our failing health care system, then consider potential remedies. Electronic medical records offer unique opportunity to learn from our experiences more quickly and accurately than has previously been possible. However, that knowledge requires behavior changes in three different sectors: the general public, the health care system and its culture and structure, and legislative and regulatory processes. Health behavior research needs to expand its focus to consider how positive changes in the behaviors and cultures of populations, organizations, and regulatory bodies can be achieved in order to address the extraordinary inefficiencies of US health care. Without such changes, financial collapse of the health system is likely within a decade.