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2/ The gap is driven by less-educated or lower economic status populations in the US. Being high status in the US is akin to being high status in Europe.
Source: Alice Chen, ,
More evidence that it's behavior and not health care is that the gap arises among those with normal birthweight.
Among those with low birthweight--the people who need healthcare--there is no US-Europe mortality gap.
Now, infant mortality is not the same as longevity. But these infant mortality has a disproportionate effect on longevity because infant death takes away many more years than elderly death.
Moreover, the drivers of elderly mortality may also be behavioral and economic status.
The goal is here not to minimize the gap--it exists. But to understand its causes so we can be more effective in tackling it.
Keep this in mind the next time you see the chart below (from ).
Source for the infant mortality charts is
Chen, Oster, & Williams, Why is infant mortality higher in the United States than Europe, AEJ: Economic Policy (2016). pmc.ncbi.nlm.nih.gov/articles/PMC48
However, PPP healthcare expenditure figures are divorced from real consumption.
Indicators of real consumption of healthcare show Germans, for example, have more hospital beds, doctors, nurses, MRI machines, and perform more surgeries per capita than in the US.
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Thank you for the analysis. I wanted to add a few things.
There are a lot of factors not taking into consideration here, that can also impact the results. Here are just a few.
Genetic predisposition and cultural differences (traditions and practices) are two examples. Adding
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Absolutely terrible interpretation of the data. US has much higher preterm birth rates, which shapes mortality. Then, in the first few months lots of healthcare needs to be sought, and if an injury occurs, access to healthcare is critical to prevent death.
One piece of evidence against this is that the gap emerge among normal birthweight infants. Not among low birth, weight babies. That is not a mathematical proof, but strongly suggested that it’s not the composition that’s critical.
That said, if I am interpreting your point
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Healthcare can be amazing in the US but there is also the matter of access to healthcare, where it trails the EU, Canada, Japan and quite a few other countries. Do you agree?
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Looks like US high status infant mortality is 4 times higher than in Finland.
And what side effects of Public Health initiatives may there be because of this general pattern?
Another way of putting this, why is this news seemingly illuminating? Do I overestimate 'these' people? How are they failing so much worse at the most basic human thing?
Similarly,
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Splitting the graph by race, and adjusting for SE status will show that the US and Finland are identical. Still, US citizens would do better to consume more fatty meat and less carbs. And that's all you need to know.
Actually technology is better here and infants that would be considered dead (still born) are often able to be saved but, a decent percentage still don't live very long. This artificially raises out infant mortality rate when compared to other nations.
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There is not enough info in this chart to infer causality. Relative ease of access to pediatric care, or even differences in pediatric practice could explain some of the divergence .
I disagree. It’s mostly poor postpartum care and almost nonexistent follow-up by medical professionals. As an American in Europe I’ve seen the difference first hand. If you’re high status might have enough wherewithal to avoid worst outcomes. Not for others.
Hypothesis:
Gini coeff/PCGDP
Austria 30.7/68k
Finland 28.7/59k
USA 39.6/77k
USA has higher PC GDP but also higher Gini
So the poorest Americans are worse off than the average European
& That drags down US life expectancy?
An interesting take.
What if diff though is more premature babies in US? Or simply more diabetic and overweight mothers in US. Or just far more heterogeneity of geographic location?
Or differences in prenatal care which puts it back on healthcare not at-home behavior? 
You realize there’s something called post natal care for which you have to take your infant for regular doctor visits? We also know from research that access to healthcare influences at home behavior. access to healthcare remains the most important factor.
Given that the effect widens after 1 month, could differences in paid parental leave be a factor? Low income US parents who return to work sooner have to hand their children to less skilled or more burdened carers?
Compare Whites with Whites of similar socioeconomic status. I’m sure the longevity data will be more similar then.
All graphs in America you need to split by race or they’re pointless. You’re comparing apples and oranges
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If you separate by race, what does the figure look like ? May be interesting.
It is perfectly logical that if you don't have the means to pay to see a doctor you will freely (?) choose not to consult even when desirable. Now, that is not so complicated.
Now do what chemicals are in baby formula in the US that aren't in the baby formula of the EU countries
So close to actually understanding it aren't you
We're being poisoned from birth
Babies who die, of course, never need medical treatment after the first time they leave a hospital...
How many vaccines are given in the first year of life in Austria and Finland? And how many in the US?
Or maybe health care costs dissuade Americans with little to middle income to seek health care for their kids until they have no other choice. And this delay in seeking care may provoke the increase in mortality.
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Check the research on how the US account for births - including very early premature births - versus how other countries calculate life births for national records .
Here’s a research paper that explains 40 to 75% of the discrepancy.
nber.org/bah/2015no1/wh
i bet if you compared finns with american finns and austrians with american austrians you would find no difference in outcomes among the groups.
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