So? Americans spend more on EVERYTHING. That's just the nature of our country - we like to spend gobs of money. We spend more on cars. We spend more on houses. We spend more on videogames and DVDs and computers. That's not a negative result.
It would be considered a negative result when you look at the overall stats on mortality and life expectancy
"I shall expect a chemical cure for psychopathic behavior by 10 A.M. tomorrow, or I'll have your guts for spaghetti." -- a comic panel by Cotham