By

Steve Vernon /

MoneyWatch/ January 22, 2013, 8:51 AM

Study: Americans have shorter, sicker lives

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(MoneyWatch) Americans have shorter life expectancies and poorer health than people in 16 comparable countries -- Canada, Australia, Japan, and 13 countries in Western Europe -- in spite of the U.S. spending far more on health care.

That's the damning conclusion of a recent report by the National Institutes of Health (NIH), the National Research Council and Institute of Medicine.

Of the 17 countries included in the study, the U.S. ranked last for life expectancy at birth for men and No. 16 for life expectancy at birth for women. In addition to living shorter lives, Americans also have a pattern of poorer health over the entire course of their lives -- at birth, during childhood and adolescence, for young and middle-aged adults, and for older adults.

Specifically, we have significantly higher rates than other countries of infant mortality, injuries and homicides, adolescent pregnancy and sexually transmitted diseases, HIV and AIDS, drug-related deaths, obesity and diabetes, heart disease, chronic lung disease, and disability.

The report cites four causes for why the U.S. compares poorly to other countries in terms of longevity and health:

  • Health systems. We have a relatively large uninsured population; in general, Americans are more likely to find health care inaccessible or unaffordable.

  • Health behaviors. We're more likely to be overweight, abuse drugs, be in traffic accidents involving alcohol, and be victims of violence and firearms. We're also less likely to use seatbelts.

  • Social and economic conditions. We have higher levels of poverty and income inequality, leading to lower levels of education among the poor. Our safety net programs are less able to protect the poor from the negative health aspects of poverty.

  • Physical environments. Our landscape is built around transportation via automobiles, leading to less physical activity and more obesity.

One positive result from the report was insightful: Americans who reach age 75 have longer remaining life expectancies than people in the peer countries. This demonstrates that the small, healthy segment of our population will take the steps necessary to improve their health and will reap the gains, while the larger part of our population will continue to fall farther behind in health levels and life expectancy.

It also shows that while we know how to live longer, healthier lives, a large portion of our population is just not doing it. This advantage -- knowing what we should do -- seems to be used chiefly by people who take the time to educate themselves about healthy behaviors and have the economic means to act on their insights.

What does this mean for you? The conclusions will sound familiar to regular readers of my blog: You'll most likely live longer and spend less money on medical bills if you eat the right amounts and kinds of food, get plenty of exercise, don't smoke, and don't abuse drugs or alcohol. Also buckle your seatbelt, and take reasonable precautions to avoid or prevent violence.

You should also nurture your social network, and try to find meaning and purpose in your later years. And while these steps won't guarantee that you'll actually live longer and spend less on medical bills, if we all adopted these recommendations, collectively Americans would live longer and be healthier.

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    For more than 35 years, consulting actuary Steve Vernon helped large employers design and manage their retirement programs. Now he's a Research Scholar for the Stanford Center on Longevity, where he helps collect, direct, and disseminate research that will improve the financial security of seniors. He also delivers retirement planning workshops and has authored Money for Life: Turn Your IRA and 401(k) Into a Lifetime Retirement Paycheck and Recession-Proof Your Retirement Years.

5 Comments Add a Comment
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stevevernon says:
Hi stopklllingourwilderness and zergra8835

Actually I agree with your comments and observations. But what can individuals do about it, today, without waiting for society or government to help? That's the point of my post, since most likely we won't be getting help any time soon from our government and society. We may not like that conclusion, but that's the reality we're living in today.

Best regards, Steve
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hypnotoad72 replies:
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There are only so many hours in a day, time is money, and it's a seller's market regarding jobs (e.g. lower wages, which turns into more stress and illness...)

Society is a democracy, and a well-educated democracy would be better than the... what do we have right now? Even Ayn Rand wouldn't know, but she turned her back on her beliefs the moment she got sick, and hid behind her husband's name to get at it as well...
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stopkillingourwilderness says:
really? your conclusion is that managing these outcomes is all up to us eating differently, and not that this study reveals a blatantly obvious failure of our society to provide for our communities in terms of public transportation, healthcare for all, and a social safety net that ensures that poor people have the means - both in terms of education and financial security - to manage their health in the same way rich people do? unbelievable.

here's a little tip, folks. when someone shrieks about "liberty" and that means that you will die because you can't afford a doctor, and you will have no chance at upward mobility because the 1% gets all the money from your work, that person is a psycho. they are using you to advance themselves at enormous cost to your health and welfare. don't let them.
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zebra8835 replies:
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I might add to your comment,we live in a society that's never allowed to relax. There really are no holidays in the United States any longer. Many are forced now to work on Christmas day itself. Labor day (that's supposed to be a day off for workers) and the only ones taking off are the big shots. But, in most cases it's just another working holiday.

With the death of the "defined pension benefit," the vast majority of people will never be able to retire. The amounts saved up in most 401K plans doesn't even come close.

And then the importance of job security, what job security? I don't care who you are or what you do, your job could be gone tomorrow regardless of how well you do it. When a major corporation closes plants and lays off 10,000 people, good, bad and ugly they're all gone.

I think a basic sense of security (or lack of it) knaws away at all of us and it isn't helping longevity by any means.
hypnotoad72 replies:
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Zebra,

"never allowed to relax"


You reminded me of a local newscast where the anchor had said that, of all the industrial nations, the US was last. She then said "Germany had the most days", but then put up her nose and made a snide comment about "how do they get anything done". Wow... clueless, utterly clueless, and she's there prattling the "news" she's told to prattle...

And if that's an example of the so-called "liberal media"...
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