given these figures it could be argued that latvia has had more fiscal space to devote to health system investment than other oecd economies the proportion of gdp to the public sector in latvia is much lower than the average of all european oecd countries excluding turkey at in oecd d and latvia spends of public expenditure in health a smaller share than any oecd countries figure at the other end of the spectrum the share is over in new zealand switzerland the netherlands and the united states