CBS/AP/ January 10, 2013, 12:02 PM

Report: U.S. life expectancy lowest among wealthy nations due to disease, violence

WASHINGTON Not only do Americans live shorter lives than people in other wealthy nations, but they suffer more violent deaths compared to their peer countries, according to a report released Wednesday by two of the nation's leading health research institutions.

Researchers said the violence is due in part to the widespread possession of firearms and the practice of storing them at home in unlocked places.

Gun violence is just one of many factors contributing to lower U.S. life expectancy, but the finding took on urgency because the report comes less than a month after the shooting deaths of 26 people at an elementary school in Newtown, Conn.

The United States has about six violent deaths per 100,000 residents. None of the 16 other countries included in the review came anywhere close to that ratio. Finland was closest to the U.S. ranking with slightly more than two violent deaths per 100,000 residents.

For many years, Americans have been dying at younger ages that people in almost all other wealthy countries. In addition to the impact of gun violence, Americans consume the most calories among peer countries and get involved in more accidents that involve alcohol. People living in the U.S. lose more years of their life before they reach 50 due to alcohol and drugs compared to all the other nations in the study. In general, Americans had the lowest chance of surviving to 50.

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In total, there were nine areas where the U.S. came in below average, including infant mortality and low birth weight, injuries and homicides, adolescent pregnancy and sexually transmitted infections (STI), HIV and AIDS, drug-related deaths, obesity and diabetes, heart disease, chronic lung disease and disability. The differences were observed in all age groups up to 75.

Americans had the second-highest death rate from the most common form of heart disease, and the second-highest death rate from lung disease. People living in the U.S. also had the highest diabetes rates, with death rates from non-high school graduates with diabetes three times higher than those with some college. Americans also had the highest rate of infant mortality, STIs, teen pregnancy and car crash deaths.

The result is that the life expectancy for men in the United States ranked the lowest among the 17 countries reviewed, at 75.6 years, while the life expectancy for U.S. women ranked second lowest at 80.7 years right in front of Danish women. The countries reviewed included Canada, Japan, Australia and much of Western Europe.

The nation's health disadvantages have economic consequences. They lead to higher costs for consumers and taxpayers as well as a workforce that remains less healthy than that of other high-income countries.

"With lives and dollars at stake, the United States cannot afford to ignore this problem," said the report from the National Research Council and the Institute of Medicine.

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There were some areas where the U.S. excelled, including lower death rates from detectable cancers and control over cholesterol and high blood pressure. Also, Americans who made it to 75 were more likely to survive longer than most of the other people around the same age in other countries. However, these positives were not enough to outweigh the other sobering facts.

In attempting to explain why Americans are so unhealthy, the researchers looked at three categories: the nation's health care system, harmful behaviors and social and economic conditions. Researchers noted that the U.S. has a large uninsured population compared to other countries with comparable economies, and more limited access to primary care. And although the income of Americans is higher on average than that of other wealthy countries, the United States also has a higher level of poverty, especially among children.

Researchers said American culture probably plays an important role in the life expectancy rates falling short of other wealthy countries.

"We have a culture in our country that, among many Americans, cherishes personal autonomy and wants to limit intrusion of government and other entities on our personal lives and also wants to encourage free enterprise and the success of business and industry. Some of those forces may act against the ability to achieve optimal health outcomes," said Dr. Steven H. Woolf of Virginia Commonwealth University, who served as chairman for the study panel.

The National Rifle Association did not immediately return calls seeking comment about the report, but in the past gun-rights advocates have fought any suggestion that firearms ownership has public health implications, and they have won cuts in the government's budget for such research.

The researchers reviewed an array of studies over the years. They estimated that homicide and suicide together account for about a quarter of the years of life lost for U.S. men compared to those in those peer countries. Homicide, they noted, is the second leading cause of death among adolescents and young adults aged 15-24. The large majority of those homicides involve firearms.

The researchers said there is little evidence that violent acts occur more frequently in the United States than elsewhere. It's the lethality of those attacks that stands out.

"One behavior that probably explains the excess lethality of violence and unintentional injuries in the United States is the widespread possession of firearms and the common practice of storing them (often unlocked) at home. The statistics are dramatic," the report said.

For example, the United States has the highest rate of firearm ownership among peer countries - 89 civilian-owned firearms for every 100 Americans, and the U.S. is home to about 35 to 50 percent of the world's civilian-owned firearms, the report noted.

Woolf said that researchers had expected that homicide would be an important factor in explaining the health disadvantage that existed in younger adults in the U.S., particularly among young men.

"The size of the health disadvantage was pretty stunning. The fact that our risk of death from homicide is seven times higher and from shootings 20 times higher is pretty dramatic, but I would add that was probably just as important to us was the extent of the health disadvantage in young Americans that had nothing to do with violent injuries."

Woolf cited the statistics regarding premature babies and the high prevalence of illness among teenagers as equally disturbing as the statistics on guns and violence.

© 2013 CBS Interactive Inc. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed. The Associated Press contributed to this report.
28 Comments Add a Comment
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DuaneFU says:
The article also leaves out the vast size of the United States compared to most of those on the list. There are plenty of areas in this country that are closer to Third World Nations due to jobs being shipped overseas.

When they try to tie together statistics why don't they also factor in how many Americans work full time jobs at pay below the poverty level which is more inline with Third World Nations and not industrial ones?

Don't worry some of our numbers will change as far as overweight related early deaths. The reason why Americans weigh more than people in other countries is that their food costs twice as much as ours. They can't afford to eat as much but that is changing since ours is going up way higher than inflation.
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4780 says:
Americans also have less free time and work longer hours than people in other nations. How are Americans supposed to eat healthy when they don't have time to cook for themselves?

The only way to fix America is to get rid of the new America and go back to the old America. The real America and not this sissy new age America.
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johnlockesghost says:
Our version of socialized medicine is not the answer, although, I suppose, it's better than nothing. The best answer is Health Savings Accounts. For no other reason, HSAs will teach the public how to become more healthy as not doing so will come right out of their pocket. The more healthy one becomes, the lesser the cost.
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dancingmanatee replies:
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No, it's not. I get health insurance options from my employer -- including one for an HSA. The only way you can get an HSA is if you're signed up for a HDHP -- high deductible health plan. Meaning that I pay 100% of my health expenses until I reach that high deductible (for me, $2000). This covers me in case of an accident, but I have to pay for 100% of my preventative care and medications. Instead, I chose an HMO. It has less flexibility, but I get much better care because of better communication between doctors and efficiency of care received. Employers prefer HDHPs because its cheaper. If you don't use health insurance much (which is the exact OPPOSITE of what this article advocates), then HDHPs are a better fit.
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WiseAsOwl says:
And, let me guess.. You Libs have the answers for all of this.
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netjunkie1 replies:
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We can start by cutting off foreign aid to developed nations with large militaries like for instance...Israel.

We divert all that money towards our medical needs.
We could also cut military spending by 50% and divert the difference to fixing our infrastructure.
We could move all those bases around the world home, and cut down on the multiple carrier fleets we have today.
BigBlivefromny replies:
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Yeah, we 'Libs' do have the answer! Simple! It is called EDUCATION. If all the dumb crackers(no slight to any peoplein the South), were better educated they would know more about their bodies and whats good for them...drink less, fight less, do fewer drugs and alcohol, have better jobs which = MORE self esteem and less desire to do dumb sh@#!! European countries outscore us in every area of education, and their publicly funded health systems are generally better and spend HALF the $$$$.
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busterthedawgy says:
Thirty-two of the thirty-three developed nations have universal health care, with the United States being the lone exception

Country and start of universal health care:

Norway 1912
New Zealand 1938
Japan 1938
Germany 1941
Belgium 1945
United Kingdom 1948
Kuwait 1950
Sweden 1955
Bahrain 1957
Brunei 1958
Canada 1966
Netherlands 1966
Austria 1967
United Arab Emirates 1971
Finland 1972
Slovenia 1972
Denmark 1973
Luxembourg 1973
France 1974
Australia 1975
Ireland 1977
Italy 1978
Portugal 1979
Cyprus 1980
Greece 1983
Spain 1986
South Korea 1988
Iceland 1990
Hong Kong 1993
Singapore 1993
Switzerland 1994
Israel 1995

The United States will have at least a partial insurance mandate by 2014 if it is not overturned.

http://truecostblog.com/2009/08/09/countries-with-universal-healthcare-by-date/


And, according to government statistics, the U.S. ranks 50th in the world regarding life expectancy, at 78.37 years. FYI, Monaco ranks first, at 89.73 years.

https://www.cia.gov/library/publications/the-world-factbook/rankorder/2102rank.html

And, the U.S. ranks a low 41st among countries with the lowest infant mortality rate. That means 40 countries - yes, 40 - have lower deaths among infants. Incredible.

http://www.cbsnews.com/2300-204_162-10009232.html?tag=cbsnewsSectionContent.8
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eroteme2 says:
We are still comparing our country to wealthy countries? We not wealthy any more.
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909101 says:
I guess Bill Maher was right about the US waving the big foam "number one" finger.
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erasmus111 says:
Well there ya go, dumb ass es!
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fredisalive says:
its the filthy diet that is killing Americans more than other nations! What nation has the majority of people eating fast food as standard diet! LOL
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quantum_analysis says:
Report: U.S. life expectancy lowest among wealthy nations due to disease, violence

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Amazing.....yet we have so many republican ideologues that continue to tell us how wonderful our very expensive for-profit health care system is, despite the fact that we have tens of millions uninsured, as well as tens of millions under-insured, and our health care outcomes are worse than most of the other industrialized countries around the world!
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quantum_analysis replies:
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LOL! Just another clueless republican ideologue, since we should have learned from all the other industrialized countries, and implemented SP-UHC a long time ago, so that all our citizens would have health care, and our costs would be less than half the current $3 Trillion per year, with the for-profit insurance industry skimming the cream right off the top in pure profit and greed!
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