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US Slipping in Life Expectancy Rankings
_ Racial disparities. Black Americans have an average life expectancy of 73.3 years, five years shorter than white Americans.
Black American males have a life expectancy of 69.8 years, slightly longer than the averages for Iran and Syria and slightly shorter than in Nicaragua and Morocco.
  Graphic shows life expectancy by country;; three sizes; 1c x 2 5/8 inches; 46.5 mm x 66.7 mm; 1c x 3 5/8 inches; 46.5 mm x 92.1 mm; 3c x 3 inches; 146 mm x 76.2 mm (Damiko Morris - AP) |
_ A relatively high percentage of babies born in the U.S. die before their first birthday, compared with other industrialized nations.
Forty countries, including Cuba, Taiwan and most of Europe had lower infant mortality rates than the U.S. in 2004. The U.S. rate was 6.8 deaths for every 1,000 live births. It was 13.7 for Black Americans, the same as Saudi Arabia.
"It really reflects the social conditions in which African American women grow up and have children," said Dr. Marie C. McCormick, professor of maternal and child health at the Harvard School of Public Health. "We haven't done anything to eliminate those disparities."
Another reason for the U.S. drop in the ranking is that the Census Bureau now tracks life expectancy for a lot more countries _ 222 in 2004 _ than it did in the 1980s. However, that does not explain why so many countries entered the rankings with longer life expectancies than the United States.
Murray, from the University of Washington, said improved access to health insurance could increase life expectancy. But, he predicted, the U.S. won't move up in the world rankings as long as the health care debate is limited to insurance.
Policymakers also should focus on ways to reduce cancer, heart disease and lung disease, said Murray. He advocates stepped-up efforts to reduce tobacco use, control blood pressure, reduce cholesterol and regulate blood sugar.
"Even if we focused only on those four things, we would go along way toward improving health care in the United States," Murray said. "The starting point is the recognition that the U.S. does not have the best health care system. There are still an awful lot of people who think it does."
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On The Net:
Census Bureau: http:/
National Center for Health Statistics: http:/
