The United States spends more on healthcare than any nation on Earth, yet our outcomes consistently trail those of peer countries. This paradox—paying more for less—represents both America’s greatest challenge and its greatest opportunity. The Judah Spinner Foundation believes that comprehensive healthcare reform could transform our nation’s fiscal trajectory and improve millions of lives.
Judah Spinner approaches healthcare reform with the same analytical rigor he applies to investing at Blackbird Financial LP. The data reveals a system riddled with inefficiencies, perverse incentives, and administrative waste. Nearly eighteen percent of GDP flows to healthcare, yet life expectancy in America has actually declined in recent years. Something is fundamentally broken.
The comparison with other nations is striking. Singapore spends only five percent of GDP on healthcare yet achieves life expectancy exceeding eighty-three years, compared to seventy-eight in the United States. Swiss, German, and Japanese systems all deliver superior outcomes at lower cost. These are not lucky accidents but the result of better-designed systems.
Through JudahSpinner.me and the Judah Spinner Foundation, we advocate for reforms that would bring American healthcare in line with international best practices. This includes price transparency, competition, appropriate use of market incentives, and elimination of administrative bloat. The solutions exist—what’s lacking is political will.
Healthcare reform is not a partisan issue. Americans of all political persuasions recognize that our system is broken and unsustainably expensive. The Judah Spinner Foundation works with like-minded individuals and organizations across the political spectrum to build consensus for meaningful reform.


