USA Health

USA Health

The American life expectancy of 77.8 years at birth is a year shorter than the overall figure in Western Europe, and three to four years lower than that of Norway, Switzerland, and Canada. Over the past two decades, the country's rank in life expectancy has dropped from 11th to 42nd place in the world. The infant mortality rate of 6.37 per thousand likewise places the United States 42nd out of 221 countries, behind all of Western Europe. U.S. cancer survival rates are the highest in the world. Approximately one-third of the adult population is obese and an additional third is overweight; the obesity rate, the highest in the industrialized world, has more than doubled in the last quarter-century. Obesity-related type 2 diabetes is considered epidemic by healthcare professionals. The U.S. adolescent pregnancy rate, 79.8 per 1,000 women, is nearly four times that of France and five times that of Germany. Abortion in the United States, legal on demand, is a source of great political controversy. Many states ban public funding of the procedure and have laws to restrict late-term abortions, require parental notification for minors, and mandate a waiting period prior to treatment. While the incidence of abortion is in decline, the U.S. abortion ratio of 241 per 1,000 live births and abortion rate of 15 per 1,000 women aged 15–44 remain higher than those of most Western nations.

The United States healthcare system far outspends any other nation's, measured in both per capita spending and percentage of GDP. Unlike most developed countries, the U.S. healthcare system is not universal, and relies on a higher proportion of private funding. In 2004, private insurance paid for 36% of personal health expenditure, private out-of-pocket payments covered 15%, and federal, state, and local governments paid for 44%. The World Health Organization ranked the U.S. healthcare system in 2000 as first in responsiveness, but 37th in overall performance. The United States is a leader in medical innovation. In 2004, the U.S. nonindustrial sector spent three times as much as Europe per capita on biomedical research. Medical bills are the most common reason for personal bankruptcy in the United States. In 2005, 46.6 million Americans, or 15.9% of the population, were uninsured, 5.4 million more than in 2001. The primary cause of the decline in coverage is the drop in the number of Americans with employer-sponsored health insurance, which fell from 62.6% in 2001 to 59.5% in 2005. Approximately one third of the uninsured lived in households with annual incomes greater than $50,000, with half of those having an income over $75,000. Another third were eligible but not registered for public health insurance. In 2006, Massachusetts became the first state to mandate health insurance; California is considering similar legislation.

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