Sorry, by relative I meant basically what effects to an investment in healthcare (with regards to systemic change as was my point), not total spending which is

Sorry, by relative I meant basically what effects to an investment in healthcare (with regards to systemic change as was my point), not total spending which is obfuscated by recent COVID-19 response spending and Medicare's inability to negotiate prescription and treatment prices historically. For instance, American hospitals being overwhelmed/at capacity and rural areas turning to telehealth due to lack of healthcare services.