America, best in the world at baseball, hot dogs, apple pie… and healthcare spending. Americans have spent a whopping $30.1 trillion in fact, from 1996 to 2013. Very little has been known until now about what issues have been the driving forces of such massive sums, but a recent study reported in JAMA finds that just 20 medical conditions account for over half of all spending. At the top of that list: diabetes, heart disease, and back pain. Here’s InsightCity’s recommendation: after spending $277.1 billion in 2013 alone, Americans may want to focus a bit more on the baseball and a bit less on the hot dogs and apple pie.