In a new ranking of countries with the most efficient health care, Israel came in fourth, while the US ranked — behind Iran — in 46th position.

The data was compiled by Bloomberg, and countries were ranked based on three criteria: life expectancy; relative per capita cost of health care (percentage of GDP per capita); and the absolute per capita cost of health care (expenditures covering preventive and curative services, family planning, nutrition and emergency aid).

The countries included had populations of at least five million, life expectancy of at least 70 years and GDP per capita of at least $5,000.

Hong Kong, Singapore and Japan took the top three spots in the rankings. Israel came next.

The UK came in 14th, Canada 17th, Iran 45th, and the US 46th.

Israel’s life expectancy is 81.8 years, and health care costs per capita were calculated at $2,426 (or approximately NIS 8,800).

The rankings also noted that Israel has the longest life span in the Middle East and Africa, and that Israelis have the 12th longest retirement in the world (lasting 17.81 years).

By comparison, Americans have a life expectancy of 78.6 years and spend $8,608 (NIS 31,100) in health care costs per capita.