The Washington Report on Middle East Affairs estimates US direct aid to Israel at more than $130bn. Unlike other recipients of US military aid, Israel has in the past been allowed to spend more than a quarter of its annual military aid in Israel, rather than in the US, resulting in an increasingly sophisticated and competitive Israeli defence industry.
All Israeli residents are entitled to basic healthcare as a fundamental right, compared to the US, which has one of the most underperforming healthcare systems among developed nations, despite massive spending of $3.5 trillion annually.