[JumpCrisscross]

One, a search isn’t a source. Two, the medical source in your results [1] doesn’t support your hypothesis:

“Survival among the participants in the top wealth quartiles in northern and western Europe and southern Europe appeared to be higher than that among the wealthiest Americans. Survival in the wealthiest U.S. quartile appeared to be similar to that in the poorest quartile in northern and western Europe.”

The wealthiest 25% of Americans have mortality similar to the poorest 25% in Northern and Western Europe. And the wealthiest 25% of Europeans as a whole outlive the wealthiest 25% of Americans.

The richest Americans, where I mean top 1 to 5%, on the other hand, match with the richest Europeans because of course we do, we’re accessing the same global pool of health services. But there is zero evidence rich Americans are outlived by poor Europeans, even if we restrict ourselves to its wealth West and North.

[1] https://www.nejm.org/doi/full/10.1056/NEJMsa2408259

[toomuchtodo]

Followed here from your link on one of my other comments. Would you not agree that the bottom 95% of Americans have poor mortality versus most Europeans, based on this data? Comparing rich Americans to rich Europeans is not very compelling (as you mention); comparing most Americans to most Europeans (by wealth) is. The rich will do well regardless of where they are, as they are internationally mobile for the purposes of consuming healthcare services. Therefore, we should not be including them for comparison of majority outcomes.

[JumpCrisscross]

> Would you not agree that the bottom 95% of Americans have poor mortality versus most Europeans, based on this data?

Compared with EU Europeans, yes. I don’t think it’s controversial to say that similarly-wealthy Europeans are healthier than their American counterparts.

> we should not be including them for comparison of majority outcomes

OP made a statement about the rich in America doing worse than the poor in Europe.

[anthk]

Pure salary is not everything. Healthcare matters. And diet/nutrition too.

It doesn't matter if your salaries are higher when your healthcare it's subpar (and more expensive) and tons of food additives are hazardous.