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====Health Outcomes==== The USA ranks near the bottom of the developed world in most essential health outcomes. A 2020 paper from the American College of Physicians (published in the ''Annals of Internal Medicine)'' reports that "despite higher spending, the United States generally has less favorable outcomes than other countries." Let's take infant mortality, for example. According to a 2016 study from the American Economic Association:<blockquote>The United States has higher infant mortality than peer countries... The US disadvantage persists after adjusting for potential differential reporting of births near the threshold of viability.</blockquote>The ACP paper confirms that America's poor infant mortality ranking persists "even after adjustment for reporting differences." According to the AEA, this subpar performance "is driven by poor birth outcomes among lower socioeconomic status individuals." As if this wasn't bad enough, maternal mortality is also shockingly high in the USA. According to an article from NPR (reporting on data from the CDC):<blockquote>More American women are dying of pregnancy-related complications than any other developed country. Only in the U.S. has the rate of women who die been rising.<ref>NPR | U.S. Has the Worst Rate of Maternal Deaths in the Developed World</ref></blockquote>To make matters worse, there is evidence that the official statistics actually leave out a great number of deaths, meaning that the actual rate is probably much higher. According to an article from ProPublica, "the new rate, while capturing just how poorly the U.S. ranks among other countries, is actually a significant underestimate of the problem."<ref>ProPublica | The New U.S. Maternal Mortality Rate Fails to Capture Many Deaths</ref> This only makes the issue even more horrifying. In addition, healthcare-amenable mortality is generally higher in the United States than in peer countries. According to the American College of Physicians:<blockquote>The United States has a higher mortality rate for medical conditions for which there are recognized health care interventions than Germany, the Netherlands, Japan, France, and Australia.</blockquote>A 2017 study in the ''Lancet'' looked at global amendable mortality, finding that the United States ranked 35th in the world in overall performance. In a press release following the publication of the paper, Dr. Christopher Murray (the study's lead author) said the following:<blockquote>What we have found about health care access and quality is disturbing. Having a strong economy does not guarantee good health care. Having great medical technology doesn’t either. We know this because people are not getting the care that should be expected for diseases with established treatment. [...] America’s ranking is an embarrassment, especially considering the US spends more than $9,000 per person on health care annually, more than any other country. Anyone with a stake in the current health care debate, including elected officials at the federal, state, and local levels, should take a look at where the US is falling short.<ref>The Lancet | Healthcare Access and Quality Index Based on Mortality from Causes Amenable to Personal Health Care</ref></blockquote>While many people acclaim the US health system for its advanced technology, it is clear that this does no good if people cannot actually access the care they need. All-in-all, it clear that outcomes in the American healthcare system are extremely subpar, especially when one takes into account the ludicrously high cost. On that note, let's discuss cost and expenditures.
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