Let’s fix
U.S. healthcare together
Top Ten health.
Ten Percent of GDP.
in Ten Years.
Transparent methods. Public results. No ideology—just what works.
Healthy life expectancy
Maternal & under-5 safety
Noncommunicable disease
mortality
Preventable harm
Life expectancy
- 1
- 2
- 3
- 4
- 5
Health life expectancy, years
- Top 10 countries
- USA world rank: #72
- 73.6 to 70.8
- 63.9
Maternal Martality, per 100K live births
- Top 10 countries
- USA world rank: #66
- 0.1 to 2.8
- 16.6
Under 5 Martality, per 100K live births
- Top 10 countries
- USA world rank: #53
- 1.4 to 2.5
- 6.5
Noncommunicable disease martality
- Top 10 countries
- USA world rank: #50
- 6.9 to 8.5
- 13.7
Life expectancy, years
- Top 10 countries
- USA world rank: #46
- 84.5 to 82.6
- 76.4
The U.S. Health System
Current World Rank for Health Outcomes
#48
We spend the most, but our health outcomes severely lag our peer countries
Current World Rank for Healthcare costs as a % of GDP
#182
Out of 183 countries, we spend the second-most, 18.5% of GDP.
Bad results.
Unaffordable.
Fix the system, heal the country.
Goal: One million signatures.
- Together, let’s achieve a national mandate.
- We are backed by clinicians, employers, and data scientists.
How did the nation with the most advanced clinical infrastructure become the world’s most expensive healthcare failure?
More importantly, what’s the cure?
USA health spend & global rank, 1975 to 2025
TOP TEN TARGET
USA RANK ; GLOBAL HEALTH OUTCOMES
USA RANK ; GLOBAL HEALTH OUTCOMES
TOP PERCENTAGE TARGET
USA health spend & global rank, 2035 target
TOP TEN TARGET
USA RANK ; GLOBAL HEALTH OUTCOMES
USA RANK ; GLOBAL HEALTH OUTCOMES
TOP PERCENTAGE TARGET
Download Our White Paper: Answering Two Urgent Questions About U.S. Healthcare
An industry “North Star” — in one easy sentence.
The United States should rank in the Top Ten for health outcomes, spend no more than Ten Percent of GDP on healthcare, and achieve this within Ten Years.
Our building blocks
- Certification separates signal from noise. We verify solutions that deliver measurable health impact
- Partnership: Align your organization with a mission that measurably improves health and lowers cost
- Data drives everything we do. If the data doesn’t support it, we neither use nor recommend it.
- Our North Star gives the USA an unambiguous goal and a common language to align policy, purchasing, and practice
- Our Index shows how we are moving toward three clear goals: better outcomes, lower costs, and steady progress
- Your signature on the Ten Ten Ten Pledge helps create a movement demanding a better health system for all
Better health and smarter spending benefits everyone
People
Easier access to primary and behavioral care, clearer prices, safer care, and navigation that reduces confusion and surprise bills
Purchasers
Employers and taxpayers buy value: fewer avoidable ED visits and admissions, better chronic disease control, and benefits that reward what works.
Policymakers
Employers and taxpayers buy value: fewer avoidable ED visits and admissions, better chronic disease control, and benefits that reward what works.
What good looks like
Outcome benchmarks
Lower preventable mortality and readmissions; improved maternal/infant outcomes; controlled blood pressure, lipids, and diabetes; better patient-reported outcomes.
System performance
Primary care access within a week, integrated behavioral health, safe transitions with 48-hour follow-up, and fewer low-value tests and procedures.
Affordability
Slower growth in premiums and out-of-pocket costs, site-neutral prices for the same service, and drug value aligned to clinical benefit—so we end the scourge of medical bills driving personal bankruptcy.
Where we are today
Ten Ten Ten is a new nonprofit with big goals. We’re already delivering practical work today, and with funding we’ll scale the tools the country deserves. Our founders bring a decade of results, better outcomes and 35% lower costs. After transforming drug spending, we’re widening the lens to fix healthcare as a whole.
What we deliver today
- The Ten Ten Ten Pledge
- First-Cut Index Rankings-Partnership
- Practical Thought leadership
Roadmap: Solutions requiring funding
- The Index (Drill-Downs + Dynamic Dashboards)
- Certification (from Promise to Proof)
Fund the index
UX, data pipelines, equity stratification, exporter/API, QA, and uptime.
Fund Certification
Scoring engine, audit rules, evidence standards, reviewer workflow, appeals process, public registry.
Unrestricted Funding
Unrestricted funding allows us to fund our most urgent priorities.
What you can do now ?
Individuals
Sign the Ten Ten Ten Pledge. Add your name and make your commitment public.
Share it with 10 people. Post on your socials and DM a few friends asking them to sign—personal asks work best.
Nudge your employer/plan to do better. Email HR to adopt transparency, PBM audits, and consider a Ten Ten Ten partnership.
Employers & Purchasers
Explore an Official Partnership with Ten Ten Ten. Join as a founding partner to help build the Index, Certification, and public dashboards—and showcase your leadership on responsible healthcare spending.
Solutions Providers
Certify your health solution. We accept certification applications for clinical, digital, operational, benefit design, payment models, analytics, and other service offerings.
Make better care and fair prices the norm
Your donation turns open methods into measurable change for millions. It matters.