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by grecy 1480 days ago
Talking about health and healthcare, the facts show the US is at or very near the worst among OECD countries in: infant mortality, child health and safety, life expectancy at birth, healthy life expectancy, disability-adjusted life years, doctors per 1000 people, deaths from treatable conditions, rate of mental health disorders, rate of drug abuse, rate of prescription drug use.
1 comments

Those measures might not be as damning as they first appear, as the reasons behind them can be complex. For example, rate of mental health disorders may be a case of the diagnosis fallacy, where an increased number of mental health professionals and access to mental health services means there are a greater number of mental health diagnoses. Just as a greater number of mental health diagnoses will occur in hospitals than at home, this does not mean that hospitals are dangerous for your mental health (although they may be;)

Life expectancy at birth is affected greatly by, among other things, gun violence in young men (I already shared in another comment an overview[2] of a paper[1] showing how this works). There is a quote[3] in the Guardian by the paper's lead author:

> “I was surprised by the sheer magnitude of the impact of firearm deaths, that they’re only 1%-2% of deaths in the US but responsible for 20% of the gap in life expectancy between the US and other countries in men,” said Andrew Fenelon, the lead author of the letter.

It's not enough to compare simple, bare statistics and come to a judgement that US healthcare is failing compared to other countries based on just that. I'm not an advocate for the US system but I do get the feeling that it can be unjustly maligned at times.

[1] https://jamanetwork.com/journals/jama/fullarticle/2488300

[2] https://academyhealth.org/node/1891

[3] https://www.theguardian.com/us-news/2016/feb/09/guns-car-cra...

> Those measures might not be as damning as they first appear, as the reasons behind them can be complex. For example, rate of mental health disorders may be a case of the diagnosis fallacy, where an increased number of mental health professionals and access to mental health services means there are a greater number of mental health diagnoses.

Are you suggesting that the US is a special case among the 38 member countries of the OECD, and is the only one that has this phenomenon?

> Life expectancy at birth is affected greatly by, among other things, gun violence in young men

Which is just another way of saying the US needs better healthcare to deal with this major issue that it alone faces.