“According to the Business Roundtable Health Care Value Comparability Study, a new measure of the value (cost and performance) of the U.S. health care system relative to our competitors systems on a weighted scale, the workers and employers of the United States face a 23 percent value gap relative to five leading economic competitors Canada, Japan, Germany, the United Kingdom and France (the G-5 group) and a 46 percent value gap compared with emerging competitors Brazil, India and China (the BIC group). What does this value gap mean for our ability to compete in the international marketplace?”