America spends 19% of its gross domestic product on healthcare. The rest of the developed world spends around 11% to 12% and countries like Singapore, which have high quality care, spend around just 5%. The question for so many is, why? Why does America spend more and have worse health outcomes? And how are healthcare costs affecting our national competitiveness and economic growth? To find out, watch TIME economic columnist Rana Foroohar discuss the topic with some of the world’s top healthcare experts: Steven Brill, Ezekiel Emanuel, and William Haseltine, at the Council on Foreign Relations’s Renewing America panel on the cost of healthcare.