Each of these spends twice as a much — as a proportion of GDP - as countries such as Spain, Switzerland, Italy, Canada, Portugal, Japan and Bulgaria. At the bottom of the table are five countries spending little more than 1% of GDP on cash benefits, tax breaks and services for children and families - the United States, Lithuania, Latvia, Greece and Malta. How the money is spent can be as important as how much is spent, but the chart nonetheless shows a strong relationship between resources expended and results achieved.