Why Doesn’t American Health Care Help Us Live Longer?

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Christopher Ingraham asks, “Is the money we’re spending on health care keeping us alive?” It’s this chart that gives him pause:

This is a dramatic chart, for sure. But I’m not sure it highlights the right issue. The US spends a lot more on health care than other countries, but that’s not because we provide better or worse health care. We just pay more for the same stuff. We pay doctors more and we pay nurses more. We pay more for drugs, more for hospital stays, and more for tests. This is a consequence of a mostly private health care system that doesn’t control costs very well, but it says nothing about the quality of care.

Instead, I would draw your attention to this chart:

The difference in life expectancy between the top and bottom is ten years for women and a stunning 15 years for men. Nor do you need to look at the very top to match European life expectancies. A merely average American has a life expectancy of 82 years, right in line with other advanced countries.

So here’s the question: I assume that every country shows a decline in life expectancy as you get poorer. But do other countries show the astonishing decline we have in the US? I can’t find an authoritative analysis of this, but I scanned through some reports from different countries and it looks to me like the income difference in most places is half to two-thirds of the US difference.

This is where I suspect our health care system goes awry: in quality of care to the poor. Compared to other advanced countries, it’s terrible, and that shows up in the life expectancy numbers for the poor.

This is testable with the right statistics. In particular, I’d be interested in seeing the chart at the top not for overall life expectancy, but for life expectancy of those with median incomes. Does any such thing exist?

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SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

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Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

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