on health care than the average developed country , according to the Organization for Economic Cooperation and Development . We spend more on health care than housing or food , the McKinsey Global Institute reported . Nearly 46 million Americans are uninsured , millions more are underinsured , and they are n't the only ones who are suffering . The high cost of care is hurting all of us . A recent study by Families USA estimates that insured families pay a hidden health tax of more than $ 1,000 every year . The hidden tax is the amount businesses and families with insurance have to pay in insurance premiums , taxes and donations to help cover the cost of treating uninsured Americans . Health insurance premiums for families that are covered through a job at a small business have increased 85 percent since 2000 , and more small businesses are thinking about dropping health insurance benefits . Nationwide , health care costs consume 18 percent of our gross domestic product . If we continue on our current path , health care costs will consume 34 percent of our GDP by 2040 , and the number of uninsured Americans will
Editor 's note : Kathleen Sebelius is secretary of Health and Human Services in the Obama administration . Kathleen Sebelius says health care costs are a huge and growing burden on the economy . -LRB- CNN -RRB- -- Today in Washington , some politicians like to suggest that the many challenges we face as a nation mean we should n't tackle health care reform . Nothing could be further from the truth . With more and more of America 's families , businesses , and local , state and federal governments struggling with the crushing costs of health care , health care reform has never been more important . As President Obama has often said , you ca n't fix the economy without fixing health care . Unless we fix what is broken in our current system , everyone 's health care will be in jeopardy . Health care reform is not a luxury . It is a necessity . It 's important to look at the size of the problem we face and where we stand . Today , we have by far the most expensive health system in the world . We spend 50 percent more per person