Health in North America

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Do rich countries always have better health than their poorer neighbours? …

Do rich countries always have better health than their poorer neighbours?
A comparison of economies and health status in the USA, Canada, Mexico and Cuba

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  • 1. North America Health in North America
  • 2. In this presentation I want to take a look at some of the differences in health status in Canada and the USA. Both countries are amongst the wealthiest in the world. To get some idea of how they compare with other neighbouring countries I’ve added some data for Mexico and Cuba. Economically very different and with very different amounts of money spent on health care.
  • 3. Gross Domestic Product per capita 50,000 47,500 37,500 39,200 $(int) 25,000 12,500 14,300 9,500 0 USA Canada Mexico Cuba $int
  • 4. Health Spending as % of GDP 16 15.4 12 9.8 $(int) 8 6.5 6.3 4 0 USA Canada Mexico Cuba $int
  • 5. Total per capita expenditure on Health 7,000 6,096 5,250 $(int) 3,500 3,173 1,750 655 0 229 USA Canada Mexico Cuba $int
  • 6. Looking at the previous charts it’s clear that there are signifcant economic differences between the four countries. Given what we know about the relative health advantages of the wealthy compared to the poor we would expect the richest country to have the best population health status. Lets take a look and see.
  • 7. Under 5 Mortality 30.0 22.5 21.1 15.0 7.5 7.9 6.8 5.9 0 USA Canada Mexico Cuba per 1,000 live births
  • 8. There is a clear and significant difference in under 5 mortality between Mexico and the other three countries. As expected the wealthier countries have low mortality rates. What is interesting here is that, despite a very large economic disadvantage, Cuba has a lower under 5 mortality rate than the USA. When we look at overall life expectancy the differences are not so great. Cuban can expect to live more or less as long as people in the USA and Canada.
  • 9. Life expectancy 80 80 79 78 77 75 75 75 72 60 40 20 0 Males Females Males Females Males Females Males Females USA Canada Mexico Cuba
  • 10. When we look at the risks of dying at a younger age we find more surprises.
  • 11. Probability of dying between 15-60 per 1,000 population 200 162 150 137 128 100 90 94 81 83 50 56 0 Males Females Males Females Males Females Males Females USA Canada Mexico Cuba
  • 12. So what’s going on? It seems that it’s not a simple relationship between wealth, spending power and health. What you think accounts for the differences if it’s not just money? Take a look at the sources below and see if you can get some ideas from the outline country information in their country profiles. CIA World Factbook WHO Statistics Database