However, it is clear when reviewing the literature that this is also a big problem for the middle class. Contributing factors to this include increased deductibles and co-payments and cost shifting to the patient (Hayes, 2004). The US spends over 17% of its Gross Domestic Product (GDP) on health care expenses as compared to a mean of 10% in other high income peer nations like France and the United Kingdom (UK). Even though the US is the only one of the developed nations without a publicly funded healthcare program, an average of $9,086 is spent per capita. Public spending accounts for $419, $1074 from individual out of pocket cost and $3442 from other sources, such as employers. In contrast, the UK spends an average of $3364 per capita, $2802 comes from public spending, $321 from individual out of pocket cost and $240 from other sources. With number like these one would expect that healthcare outcomes in the US far exceed other countries, however this is not what the research shows. While the US is a major world power with economic strength and advanced technology readily available, it is important to note that its health metrics rank the lowest among like nations. For example, in the US maternal mortality is ranked at 12.2/100 000 compared with Canada at 4.8/100 000. Among 34 nations in the Organization for Economic Cooperation and Development (OECD), the US ranked 26…