That Americans are the fattest in the world will come as little surprise to most people. They also consider themselves among the healthiest and spend the most on health care: just the latest factoids to emerge from a comprehensive report published Wednesday.

The Organization for Economic Cooperation and Development, an international group for so-called high-income economies, published its “Health at a Glance 2015,” which provides interesting insight into the health patterns of the richest countries in the world.

The U.S. topped the list of most money spent on health care per capita at $8,713. That includes both public and private spending, and is 40 times more than India’s $215 per person.

“Compared with some other G-7 countries, the U.S. spends around twice as much on health care per person as Germany, Canada and France,” said the OECD.

Americans also spend a lot of money on drugs, with pharmaceutical expenditures totaling $1,026 per person, more than double the OECD average of $515.

But regardless of the billions spent on health care and drugs, the U.S.’s life expectancy at 78.8 years trails those of less developed countries like Greece and Slovenia.

For men, education level is a big factor in determining longevity. “People with the highest level of education can expect to live six years longer on average than those with the lowest level,” the OECD said.

The U.S. also showed up relatively high on the suicide list with roughly 15 deaths per 100,000 population. But that is nowhere near Korea (30 deaths per 100,000 people), where suicide is the leading cause of death among teenagers.

The OECD noted that suicide is often associated with depression and substance abuse. “Mental health services in Korea lag behind those of other countries with fragmented support,” said the OECD. It also stressed the need to remove the social stigma against seeking professional help.

When it comes to the obesity contest, the U.S. is the undisputed leader, with 35.3% of its population considered obese, or one out of every three Americans.

That is significantly above the 19% average for the OCED and nearly 10 times the rate in Japan. An adult with a body mass index of 30 or over is categorized as obese by the World Health Organization.

“The rise in overweight and obesity is a major public health concern, threatening progress in tackling cardiovascular diseases,” said the OECD.

The U.S. ranks as the ninth fattest country in the world overall, according to a January report on obesity from the World Health Organization (none of the countries ahead of the U.S. in the WHO’s list are members of the OECD).

Still, despite the high proportion of obese people in the U.S., 88% of American adults view themselves as healthy, third after New Zealanders and Canadians.

Perhaps part of the reason for that positive perception is the fact that, on average, Americans consume less alcohol than people in other OECD countries. Americans also don’t smoke as much as they used to: the percentage of smokers dropped to 14% in 2013 from 19% in 2000.