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Howard Steven Friedman

Howard Steven Friedman

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5 Countries with the Longest Life Expectancy: OECD

Posted: 05/27/11 09:49 AM ET

Life expectancy is perhaps the most important measure of health. It is readily comparable across countries and asks the most fundamental question concerning health: how long can the typical person expect to live?

Life expectancy increases due to healthcare improvements like the introduction of vaccines, the development of drug cocktails to treat AIDS or positive behavior changes like the reduction in smoking or drinking rates. During the 20th century, the average lifespan in the United States increased by more than 30 years as the rates of infectious diseases declined.

Which OECD countries have the longest life expectancies? Japan's life expectancy is nearly 83 years with European countries like Italy, Switzerland, Spain, Sweden, Israel and Australia only a year or two behind. Japan's relative advantage is related to not only genetics but also its universal health care system, generally better diet and low levels of inequality.

What about the United States? Well, that is unfortunately a very different story. The United States has a life expectancy of around 78 years, comparable to Cuba and near the bottom of the OECD countries. The few OECD countries that lag behind the United States (Czech Republic, Poland, Mexico, Slovak Republic, Estonia, Hungary and Turkey) all have vastly lower measures of wealth. In 2000, the World Health Organization rated the United States' health system as 37th in the world, below middle income countries such as Columbia, Costa Rica, and Chile.

Life expectancy in the United States isn't uniform but rather there is a huge amount of variability within the country. For example, African-American urban men live about 20 years less than Asian-American women. Geographically, residents in diverse states such as Hawaii, Minnesota, California and New York have average life expectancies more than five years longer than people in Mississippi, West Virginia and Alabama where the influence of racial and economic disparities are related to this state-to-state difference.

It is remarkable that American's pay 2-5 times more for healthcare than most OECD countries while having one of the shortest life expectancies. If you think of health expenditures as an investment with longevity being the return on this investment, then we can say that the United States receives a much lower return on its investment than other wealthy countries.

#5 Sweden 81.4 Years
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Sweden has a population of 9.4 million, GDP per capita of $47,934 (one of the highest in the OECD) and a life expectancy of 81.4 years. About 97% of medical costs are paid by the government with only 3% out of pocket.
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Note: The data source for life expectancy was Society at a Glance 2011 - OECD Social Indicators. Other sources may have slightly different estimates.

 
 
 

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04:33 PM on 06/08/2011
I recently asked my doctor about a Flomoxef,a medicine to treat my jaw infection. Japan has been using it for 20 years/it is generic and produced in Japan, Korea, and China. There is not a medicine that is better than this for treating bone infection, and has been used extensively for fragile populations/pediatric surgery in Japan. But we don't even have it available in the USA. Drug companies can't make enough money off generic antibiotics--even if they save lives they won't sell them. We are being deprived the best medicines by drug companies and FDA import rules. The Japanese have access to the best medicines with least side effects. So these figures don't surprise me one bit.
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reron
02:05 AM on 06/07/2011
Common all you cynics we can still blow the world up many times over. That's got to be worth something...like $800 billion a year. USA USA
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terry90
01:17 PM on 06/17/2011
ok, let's blow up the world then, that'll solve all our problems.............
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Patricia Shavers
05:49 PM on 05/31/2011
WE'RE #1
WE'RE #1
OOPS . . . MAYBE NOT IN HEALTH CARE . . . BUT WE'RE STILL #1 IN COST . . .

GUESS THAT'S BETTER THAN NOTHING SINCE BEING #1 IS SOOOOO IMPORTANT TO US RED BLOODED AMERICANS!
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Bugweed
05:15 PM on 05/31/2011
Every day, in every way, working to be a third world country. Go USA!
05:29 PM on 05/31/2011
Well, unless you get cancer. Then the USA isn't quite a third world country is it? Actually it's the best place in the world to get care.

Here's a good article you mind find interestin­g. Among other things, it shows the results of a 5 year study involving cancer survival rates from 2 million patients from 31 countries. It shows that America is the clear leader in cancer care. We have the highest survival rates in 13 of 16 cancers studied.

A lot of it has to do with preventati­ve screens. See, when you don't actually pay for things yourself, generally you don't get as much as when you pay for it. The British for example wont' pay for you to get screened for colon cancer until you're 75. In the US, it is recommende­d you get screened starting at 50. That's one of the reasons if you're a man and get cancer, if you live in the UK, your chances of surviving past 5 years are 45%, however if you're an American it's 66%.

http://www­.manhattan­-institute­.org/html/­_wsj_ameri­can_cancer­_care_beat­s_the_rest­.htm
12:15 PM on 06/01/2011
The survival data is subtle.

Cancer mortality rates are a function of the cancer incidence rate and the survival rate. Ultimately, we care about the cancer mortality rates where the incidence rates are a function of genetics, lifestyle choices, environmental factors, etc.

The age-adjusted mortality rates for the leading cancers such as lung cancer, prostate cancer, and breast cancer in the US are generally average compared to other wealthy countries. The fact that the age-adjusted mortality rates are similar to other wealthy countries in spite of earlier detection (and higher survival rates) suggests that either the incidence rate of the cancers is much higher in the US or that the survival rate statistic isn't reflecting differences in treatment efficacy but rather just detection timing.

Concerns that the early screenings aren't necessarily leading to longer survival have prompted some US public health task forces to recommend reduced screening frequencies but the economics of screenings (testing is a high margin activity) may make them still much more prevalent in the US than other countries.
01:10 PM on 06/11/2011
link is bad
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terry90
01:23 PM on 06/17/2011
exactly... in health care, as in so much else (levels of poverty, wealth- and income-gaps) the U.S. is looking more and more like a third-world country every day (even some third-world countries have better health care coverage for all their people than we do..) drug cos. are always saying they have to charge such high prices for their products b/c they do all this "research" -- but when there's a drug available that can really help some ailments or disease, if there's no profit to be made from it (like example mentioned above, by kmgx), it's not available in the U.S. -- period. I guess this is the right-wingers' idea of a "free" market -- and is one more example of how capitalism is taken to an extreme and to irrational levels in the U.S... ah well, in the land of the free everything goes, I guess, in the name of profits...
04:55 PM on 05/31/2011
America is a banana republic without warm weather. Education? Nope. Equitable healthcare? Nope. Financial equilibrium? Nope. Sound infrastructure? Nope. Political stability? Nope. Technological innovation? Nope. Environmentally secure? Nope. Flexible transportation? Nope. Enlightened populace? Nope. Industrial competence. Nope. Invigorating arts? Nope. Judicial acumen? Nope. Vibrant agriculture? Nope. Healthy population? Nope. Viable and reliable government? Nope.
professor
Correkt the Spelling and Pick on the Moniker
03:03 PM on 05/31/2011
How could "America" be not the best in anything?
professor
Correkt the Spelling and Pick on the Moniker
02:58 PM on 05/31/2011
But I thought "America" was the "greatest" country in the world!
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ChinaMurdoch
11:59 AM on 05/31/2011
Where is the outcry at this unbelievable situation ??? # 37 in the world for the life expectancy of Americans - the same as in Columbia. And at the same time the health care system has one of the highest per capity costs in the world !!!

Why is there no debate over universal health care ? Maybe because the health care companies are the real winners at the expense of ordinary, middle class people.

And one of the biggest health care gangsters was elected governor of Florida ! What is going on in America ?
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02:35 PM on 05/31/2011
Outcry? Stress related illness kills more people than anything else in the US, and you sound stressed...Oh...And stop eating all that fast food and pumping all that CO2 into the air, stop smoking, and stop drinking. Stop working too hard, watching so much TV, stop your 3 wars, stop giving your kids medication that you dont absolutely trust, stop munching prozac, stop the selling of guns to wackos, and again, stop stressing...
Breathe...
Relax...
Go fishing....
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Patricia Shavers
05:51 PM on 05/31/2011
Yea, you whiners. Just because you are out of a job, have no health insurance, have lost your house and can't put your kids through school, buck up, grab yourself up by your bootstraps and be a man about it. Oh, sorry. Didn't know you don't have any boots left. My bad.
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AxelDC
11:46 AM on 05/31/2011
Yet another problem with Socialism: it makes you live to a very old age.
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MarxEngelsLeninTrotsky
Einstein: Socialism is the way forward.
11:32 AM on 05/31/2011
You must pay for your healthcare! and if your poor? oh well, you dont matter, stay away! becouse jesus said so! (hypocrites!)
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Re Wood
07:26 AM on 05/31/2011
With a health care system like we have it's no wonder that life expectancy is low. People can't go to a doctor until they are already sick. Insurance companies rarely cover well-care so most people don't get regular check-ups. Also, our hospitals are filthy. Over 50,000 people a year die from infections they pick up in hospitals. These hospital-borne germs are a result of cutting corners on staff to keep the profits up.
12:48 AM on 05/31/2011
Classic- compare Sweden, with a total population less than L.A. Unified School District, to the US. Americans have been importing our poverty and our sick from south of the border for 20 years which has skewed the numbers for sure. I've lived in Japan- yes there is little disparity of wealth..but that's because no one really has any. If you don't mind living 83 years in a house roughly 400 sq ft (seriously)...and their socialized medicine sucks...it really does. Japan also has only allowed 3 foreigners (all of Japanese descent), to become citizens in the last 100 yrs...so comparing this insular, insect-like country to the US is a farce...but about what I would expect these days
07:18 AM on 05/31/2011
ok, calm down. You're taking this survey way too personally.
12:32 PM on 06/09/2011
You're right...I take this personally. The leaps in assumptions are crazy and I'm not about to accept the arguement that we need to look to Sweden for our health care example.
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dnno1
wiseguy
08:35 AM on 05/31/2011
What's that got to do with the health care system again?
12:36 PM on 06/09/2011
My point is simply this- you can't compare tiny insular countries, both of which have been allowed to recreated themselves post-WWII to the USA. There is nothing to be learned by either and I refuse to accept that we need to be more like them to "solve" our health care "crisis". My point about Japan specifically is that they are an island- with a very controlled border. They are inundated with illegal aliens, students etc. They don't allow new citizens. In short, their extremely controlled population is just that- controlled. We would never stand for it and that has a direct impact on the cost of our health care system.
12:19 AM on 05/31/2011
Also, the United States has an obesity problem which contributes to heart disease, diabetes and cancer.
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Patricia Shavers
05:55 PM on 05/31/2011
Just because a guy lives 20 miles from a Walmart or any other supermarket that carries fresh food at a reasonable cost and can't drive since he lost his car and couldn't pay for the gas anyway is no excuse not to get your fresh vegetables. Eat grass. Oh, no yard. Hummm. What's plan B? Just eat a few less potato chips and get diet Coke instead of the regular bad old sugar kind. That out to slim 'em down.
01:25 PM on 06/17/2011
That's the spirit!! Good 'ol American can-do ingenuity! Eat grass.

Ever been to Scandinavia or France. In these "socialist" countries people live on a much higher standard of living than does the average American. They're very intelligent and don't let themselves be played by powerful interests like a bunch of suckers.

Eat grass. Where's your pride?
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DickRay Schliep
10:53 PM on 05/30/2011
Big business and huge gas companies are all owners of 1 or more Republicans.. Fact not fiction
04:27 AM on 05/31/2011
Both parties are (happily) in bed with big business.
01:12 PM on 06/17/2011
Good post.

Money = speech

All the money = all the speech

The mainstream media is big money's public relations dept - including AOL. John D. Rockefeller realized public relations (the press) was critical and was the first person to take steps toward controlling the media after Americans discovered he had union workers murdered over a century ago. Thank God we still have groups still willing to speak the truth.

I know Dylan Ratigan is part of MSNBC, but I admire what he's doing. Unfortunately many Americans don't grasp economics or his general message:

1) The subversive effect of big money on America.
2) The danger that big money's partnership with the Communist Party poses around the world.

The devil is in the details.
GSR
Crouch! Touch! Pause! Engage!
07:12 PM on 05/30/2011
I have a nasty auto-immune disease. It's managed by 2 Specialist Physicians, my General Practitioner and monthly blood tests to evaluate and regulate my drug cocktail.
The good news is that I live in Australia.
I expect to live a long and happy life.