The World Health Organization ranks the US 37th out of 190, not "state of the art" in my book.  More like slightly better than mediocre.  Here's the list:
http://thepatientfactor.com/canadian-health-care-information/world-health-organizations-ranking-of-the-worlds-health-systems/
I see a lot of single payer countries like Canada, UK, etc, listed about the US.