If Americans spend more on healthcare, why do Costa Ricans live longer?
(credit: NOAA)
Citizens of the United States have a higher income than Costa Ricans, and they spend more of it on health care. In spite of this, Costa Rica has a higher life expectancy than the US—a new article published in PNAS attempts to explain why. The analysis focuses on the steep socioeconomic gradient in health that exists in the US, where the poor have considerably worse health outcomes than the wealthy.
The authors, Rosero-Bixby and Dow, argue that while the wealthiest people in the US have a higher life expectancy than anyone in Costa Rica, the poorest residents of the US have a considerably lower life expectancy.
In Costa Rica, the life expectancy is 78.5 years, though the per-capita GDP is quite low at $ 9,200. In contrast, the US has a GDP of $ 40,000, and a life expectancy of 77.4 years. Typically, economic development raises the national life expectancy, so it’s unusual that the US does not have a life expectancy commensurate with its income.
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