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Despite spending $230m (£115m) an hour on healthcare, Americans live shorter lives than citizens of almost every other developed country. And while it has the second-highest income per head in the world, the United States ranks 42nd in terms of life expectancy.

These are some of the startling conclusions from a major new report which attempts to explain why the world's number-one economy has slipped to 12th place - from 2nd in 1990- in terms of human development.

The American Human Development Report, which applies rankings of health, education and income to the US, paints a surprising picture of a country that spends well over $5bn each day on healthcare - more per person than any other country.

The report, Measure of America, was funded by Oxfam America, the Conrad Hilton Foundation and the Rockefeller Foundation. It shows each of the 11 countries that rank higher than the US in human development has a lower per-capita income.

Those countries score better on the health and knowledge indices that make up the overall human development index (HDI), which is calculated each year by the United Nations Development Programme.

And each has achieved better outcomes in areas such as infant mortality and longevity, with less spending per head.

Japanese, for example, can expect to outlive Americans, on average, by more than four years. In fact, citizens of Israel, Greece, Singapore, Costa Rica, South Korea and every western European and Nordic country save one can expect to live longer than Americans.

There are also wider differences, the report shows. The average Asian woman, for example, lives for almost 89 years, while African-American women live until 76. For men of the same groups, the difference is 14 years.

One of the main problems faced by the US, says the report, is that one in six Americans, or about 47 million people, are not covered by health insurance and so have limited access to healthcare.

As a result, the US is ranked 42nd in global life expectancy and 34th in terms of infants surviving to age one. The US infant mortality rate is on a par with that of Croatia, Cuba, Estonia and Poland. If the US could match top-ranked Sweden, about 20,000 more American babies a year would live to their first birthday.

"Human development is concerned with what I take to be the basic development idea: namely, advancing the richness of human life, rather than the richness of the economy in which human beings live, which is only a part of it," said the Nobel laureate economist Amartya Sen, who developed the HDI in 1990.

"We get in this report ... an evaluation of what the limitations of human development are in the US but also ... how the relative place of America has been slipping in comparison with other countries over recent years."

The US has a higher percentage of children living in poverty than any of the world's richest countries.

In fact, the report shows that 15% of American children - 10.7 million - live in families with incomes of less than $1,500 per month.

It also reveals 14% of the population - some 40 million Americans - lack the literacy skills to perform simple, everyday tasks such as understanding newspaper articles and instruction manuals.

And while in much of Europe, Canada, Japan and Russia, levels of enrolment of three and four-year-olds in pre-school are running at about 75%, in the US it is little more than 50%.

The report not only highlights the differences between the US and other countries, it also picks up on the huge discrepancies between states, the country's 436 congressional districts and between ethnic groups.





It has 5% of the world's people but 24% of its prisoners
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39 comments // US fails on "human index"

  • mjsmith11
  • johnmcstupid
  • malathion
  • bizerk_turq
    • 0
      bizerk_turq  
    • I think the saddest part is that "The US has a higher percentage of children living in poverty than any of the world's richest countries."
      If we can't grant our children access to better education and better healthcare then the future of this country is going to be in more jeopardy. It's only a matter of time before we slip from 12 to 21st on the list. Sad.

    • 3 years ago
  • zeephile
    • 0
      zeephile  
    • Image
    • Considering the bad economy, the poor governmental leadership, I'm not surprised at all by this. Hopefully, the future will bring something better for us and our children. If it doesn't I'm skying out of here for Australia, buddy.

    • 3 years ago
  • jh64487
  • diabolical44
  • Elevator
    • 0
      Elevator  
    • "Human development is concerned with what I take to be the basic development idea: namely, advancing the richness of human life, rather than the richness of the economy in which human beings live, which is only a part of it," said the Nobel laureate economist Amartya Sen, who developed the HDI in 1990.

      This is exactly the opposite of the "American ideal". In America socialism = communism = enemy. Americans have been taught that they are in fierce competition with everyone and everything. Every man for himself. Justice is a game, breaking the law is just a cost of doing business and nothing is sacred (except greed). American policy is simply not about quality, it's about quantity. So if you try to increase the quality of life and decrease capital flow, you are denounced as un-american. This is why although America has the largest economy in the world (by a long shot) it has the lowest rights for workers and the highest wage disparity in the industrialized world. Although the average wealth per person (143,727!) may seem good the distribution is very polarized with 58% of the wealth in the hands of 5% of the population. The vast majority of Americans (90%) control less than 1/3 of the wealth.

      Hence the comments by Cheney and Phil Gramm. America IS doing great with still an overwhelming majority of the worlds capital. Just realize when the rich and powerful say "We" or "us" or "America" they are not talking about you. What they really mean is "shut up and shop".

    • 3 years ago
  • malathion
  • otheleon
    • 0
      otheleon  
    • The United States used to have an strong hold of values and embraced enhancing the quality of life. It is unfortunate that more and more American not only live to be ridiculed because they're americans. But not they are perceived to have less and be less. I love the US alot, just disappointed in leadership in so many areas.

    • 3 years ago
  • CreditFigaro
    • 0
      CreditFigaro  
    • If you all are curious as to where all the healthcare money is going, (obviously most poeple don't spend $6,000 a year in healthcare), this is where:

      http://www.assertivepatient.com/2007/02/the_high_cost_o.html

      For some more perspective, also enjoy this...

      http://www.cancer.org/docroot/CRI/content/CRI_2_6x_Cancer_Prevalence_How_Many_Pe...

      If each of these people (these numbers are likely to be higher, seeing as 1/6 of our population doesn't have any coverage at all) Gets just ONE treatment it would cost:

      10,326,000 * $20,000 = $206,520,000,000

      ^ one treatment.

      What happens if you calculate this out to total number of treatments? Don't forget that there is 1/6 of the population that can't go to the doctor, and will have cancer that no one will ever see. i.e., not included in these figures.

      THIS is where your healthcare costs are coming from.

      Could that little vial of chemo REALLY cost $7,000 to produce? It probably costs nearly one ten-thousandth of that.

      Don't even get me started on how the doctors see patients or how the administrators run these hell holes. According to a friend of mine who was a nurse in one of these places, there was one doctor for about 1,200 patients. Literally, all of these people should be charged with duress in making these people pay this much money.

      "I have this cure for you, and if you don't take it, you WILL die. Oh, that will be your entire life savings, please."

      Even worse, they turn people away all the time because their insurance isn't good enough. They only seldom take medicare and medicaid patients, so that 700 billion we pay out in those programs annually, is only PARTIALLY to blame.

      Healthcare is THE issue you should vote on, fixing it can balance the US economy in and of itself not to mention the fact that it's the ONLY way to go, morally, I've done the research. If you want to see it, Ill give it to you.

    • 3 years ago
  • jvanauken
  • infuriel
    • 0
      infuriel  
    • the U.S. has a high rate of obesity, bad food, not much people get much sleep overall, and some of the worse habits in the world. Not to bag on this country too much, but is this any surprise about the U.S. life expectancy?

    • 3 years ago
  • Ayahuasca2012
    • 0
      Ayahuasca2012  
    • I'm not surprised by this in the least.

      When you go to a hospital with no health insurance, spend 8 hrs in the waiting room, 5 mins with a nurse and 1 min with a doctor and walk out with a $1,200.00 bill just because the doctor stated what you already told him was the issue and doesn't do anything but write a prescription... there is a problem.

      The medical field is too money hungry, they want to prescribe and treat, not cure. They want to operate when you don't need it. It's as corrupt as our government.

      Canada looks that much nicer everyday. I would rather have socialized medicine and take the risk of dying before an operation than be fleeced on a continual basis.

    • 3 years ago
  • diabolical44
    • 0
      diabolical44  
    • you don't want that "socialized medicine" because you won't be able to pick your doctor. and if you have a brain tumor you'll have to wait 5 years to remove it, and by then you'll be already dead!!!!!!. while we're on topic, maybe we should get rid of "socialized" public schools, fire departments, and police.

    • 3 years ago
  • Saladin
    • 0
      Saladin  
    • diabolical44:

      Were you being serious?

      Uhhhh, people in "socialized" medicine get to pick their doctors buddy. And most government plans are for national health insurance, which is not the same as socialized medicine. And if it's so bad, why is it that all countries in the world with the best healthcare are all socialized countries? For that matter, what makes you think people in the U.S. don't wait that long to get surgeries?

      I could go on for hours about this, but you also said we should get rid of schools, fire departments and police, which leads me to believe that you're totally delusional. So I won't waste my time.

    • 3 years ago
  • diabolical44
  • Saladin
  • damnneargenius
    • 0
      damnneargenius  
    • Anyone listened to hip-hop music lately? American culture is eroding into hollow values and principles. The fall in all of the rankings is simply a reflection of that. The system is based on competitive greed and materialism, not concern for others. What do you expect?

    • 3 years ago
  • Elevator
    • 0
      Elevator  
    • damnneargenius:

      This trend predates the existence of hip hop music. In fact hip hop was created a form of expressions and means to spread awareness. The fact that form of hip hop that dominates the mainstream is materialist is rather a reflection of the American mainstream than traditional hip hop.

    • 3 years ago
  • falinter
    • 0
      falinter  
    • I would move to another country but then I wouldn't get the lastest technologies years after the americans would.

      ..wait isn't that the problem.

      Other countries don't get the awesome new product that everyone wants, until years after americans because thats what americans want to spend their money on.

      Not saving and prolonging life.

    • 3 years ago
  • Elligirl
  • Saladin
    • 0
      Saladin  
    • falinter:

      That's not true Elligirl, the U.S. is still the leader in developing consumer technology.

      Cars are not a good example because their technology hardly advances and U.S. carmakers purposefully dumb down our cars for consumption purposes. There's a reason U.S. cars don't have good MPG, and it's not technological limitation.

      Japan is notorious for not inventing anything. They are unbelievably talented at taking something and making much better than it already is, but they hardly ever invent new technology.

      If you named the top ten inventions of the past 20 years, I can guarantee you that at least half of them came from the United States.

    • 3 years ago
  • Elligirl
  • onechance
  • jefftego
    • 0
      jefftego  
    • The terms have become meaningless. There was a time when liberal had a good connotation to it. Same with conservative. We have become excellent at arguing and putting labels on others. What we aren't doing is listening. We're all guilty of that. There are good ideas coming from all sides, but few people will listen and think before jumping into the argument.

    • 3 years ago
  • Saladin
    • 0
      Saladin  
    • jefftego:

      And politicians rely on it because it means they can spin bullshit until voting season and then pick their nose all day when they get elected.

      I really blame the neo-conservatives and their campaign policies and the MSM for this. They are totally responsible for facilitating idiocy for their own personal gains.

    • 3 years ago
  • jefftego
    • 0
      jefftego  
    • I think a big part of the problem is that this country has become so divisive. We label conservative and liberal with negative connotations. Democrats and Republicans, for the most part, stick to party lines. And this creates a situation where its all about the immediate short term gain and a lot of negative politics. Nothing is getting done and few people have their eye on creating action for long term goals.

    • 3 years ago
  • Saladin
    • 0
      Saladin  
    • jefftego:

      I agree completely.

      Even on this site our political dialogue is broken by labels and stupid arguments.

      Does it really matter whether you're "liberal" or "conservative?" What happened to people that did their jobs?

      The terms don't mean a political ideology anymore as much as they do a curse word for morons on "both sides." As if there is an actual physical continuum on which political beliefs rest. =\

    • 3 years ago
  • Elevator
    • 0
      Elevator  
    • jefftego:

      Actually these is a continuum.http://www.politicalcompass.org/usprimaries2008 And it shows our politics are not really that diverse which could be why voter turn out is so low. People know there is no real difference from any of the candidates. All major candidates are right wing authoritarians, the democrats only much closer to center. Liberalism and Conservativism are really both right movements. One problem is that most Americans don't understand this.

    • 3 years ago
  • Saladin
    • 0
      Saladin  
    • jefftego:

      I'm not impressed by half-witted arbitrations. Allow me to immediately break down this "continuum."

      If someone was for totalitarian state control, but free markets but was also for socialized medicine, schools, etc. but was also a religious extremist and believed that the constitution should be based on Christian values, what would they be?

      According to the mathematics of that chart, they'd be a fucking centrist. Does that person sound like a centrist to you?

      No, political opinions are much more diverse than stupid ass mathematical charts. You can't put political ideology into a chart anymore than you can put taste in media in a chart.

      People do not deserve to be lumped into stupid labels just because they hold a few things in common with each other. Political discussion should focus on problems and possible solutions, not labels.

      Although I agree with you about both parties being essentially the same.

    • 3 years ago
  • Elevator
    • 0
      Elevator  
    • jefftego:

      Sorry perhaps I have come across wrong. The point of graph was to illustrate our confused and limited approach to political ideologies. Although it isn't exactly "mathmatical" per se I agree it is absurd to limit our understand of social/economic issues a simple chart. It is highly suggestive, you'll notice for instance that although there are lines on the chart there is no unit of measurement. However it IS still useful.

      For example if you consider the scenario you explained you can see that although they would be "centrist" on the (x) economic axis they would also be a social extremist, far from center on the (y) social axis. My point was that we must stop thinking in terms of left and right and you have provided an excellent example of why. I urge everyone to learn more about these issues so that we may enter a more constructive dialogue. If you haven't taken the test please do. It's fun and you might learn something.

      Although it may seem degrading to group things (especially intelligent things) statistically it is common place throughout the developed world. Without doing so we would be less able to further our understanding of issues and come upon solutions.

    • 3 years ago
  • jh64487
    • 0
      jh64487  
    • they've been making these lists for years and we fall lower every time. it's sad that there are people who still have unwarranted pride in this failing republic.

    • 3 years ago
  • saltygirl
    • 0
      saltygirl  
    • Part of the problem in the US is that there is more interest in spending the money than in making sure that it is spent well and going to those who need it most. We spend thousands of dollars per student in public schools, but cannot guarantee that they're being educated. Our government is out of touch with its citizens and seems not to realize that it's a problem for the people it governs. Washington DC has the highest per capita income of any of the states, our elected officials seem more interested in looking out for their own bottom line than for the well being of their constituents.

    • 3 years ago
  • goldenways
  • shroomfairy
    • 0
      shroomfairy  
    • I was curious to see what countries are better. Here's the top 12:

      1 Iceland
      2 Norway
      3 Australia
      4 Canada
      5 Ireland
      6 Sweden
      7 Switzerland
      8 Japan
      9 Netherlands
      10 France
      11 Finland
      12 United States

      I've always wanted to go to some of those countries, maybe permanently now.

    • 3 years ago
  • Bahlkris
  • Elligirl
  • bansheewail
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