America’s poor health ranking
Published: Tuesday, February 19, 2013 at 6:01 a.m.
Last Modified: Monday, February 18, 2013 at 4:52 p.m.
Q: I just read that America, the richest country in the world, is ranked 17th in overall health. How is this possible? Is it our health-care system?
— Paul H., Chicago
A: Actually, our health-care system recently was ranked 37th in the world (even though we spend more per capita on health care than any other nation), so we're outperforming that statistic. But health care isn't the only problem: The poor health ranking has to do with a combination of factors. First, not enough people are taking responsibility for their health (almost 70 percent of North Americans are overweight or obese, including 30 percent of children).
Also, a large number of our population is uninsured (48.6 million), so preventive care is not readily available to many people. Plus, we're more of a car culture than most European nations, where walking, bike-riding and public transportation are more the norm.
And, according to the National Research Council and the Institute of Medicine, Americans' health problems disproportionately affect people 50 and younger, especially children and adolescents. Infant mortality, teen deaths from alcohol-related traffic accidents and gun-related homicides, plus higher teen rates of AIDS, lower our nation's health ranking. We also have widespread problems with diabetes and drug-related deaths.
There is good news, however. Americans have lower death rates from stroke and cancer, better control of blood pressure and LDL cholesterol levels and lower rates of smoking. And if you make it to age 75 in the U.S., you have a longer life expectancy than the elderly in other nations.
Fortunately, your personal health debits can be fixed! You can put yourself at the top of the heath rankings by eliminating all trans fats and most saturated fats from your diet, as well as all added sugars and sugar syrups, while adding lots of fresh fruits and veggies, lean protein, 100 percent whole grains and physical activity. And let's add in more access to health care; more access to good nutrition; less access to illegal drugs; a little sex education; and a few good neighborhood jobs. That's the formula for a No. 1 health ranking.
Email your health and wellness questions to Dr. Oz and Dr. Roizen at youdocsdaily@ sharecare.com.
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