The overall amount of spending that occurs with people who have chronic illness is about 85% of the total. Dr.Moses'research shows that those who spend the most on chronic disease are not elderly and that their investment in care does not guarantee a long life. A new report from the organization of economic cooperation and development shows that the US spends 2 and a half times more than other nations. And despite that, the United States trails other developed countries in life expectancy coming in at 26 to place out of 36 members of the organization.