US also spends a lot on healthcare, just because you spend a lot of money on something doesn't mean you produce good results. Not to mention that cost of production in US is an order of magnitude higher than in Russia or China

Mr. Salm said. For instance, it costs a Western country $5,000 to $6,000 to make a 155-millimeter artillery round, whereas it costs Russia about $600 to produce a comparable 152-millimeter artillery shell, he said.