Friday, September 09, 2005

As If It's Not Been Made Clear Already

From The Independent in London comes this report on a UN study:

 
Parts of the United States are as poor as the Third World, according to a shocking United Nations report on global inequality.

Claims that the New Orleans floods have laid bare a growing racial and economic divide in the US have, until now, been rejected by the American political establishment as emotional rhetoric. But yesterday's UN report provides statistical proof that for many - well beyond those affected by the aftermath of Hurricane Katrina - the great American Dream is an ongoing nightmare.

The document constitutes a stinging attack on US policies at home and abroad in a fightback against moves by Washington to undermine next week's UN 60th anniversary conference which will be the biggest gathering of world leaders in history.
[...]
It reveals that the infant mortality rate has been rising in the US for the past five years - and is now the same as Malaysia. America's black children are twice as likely as whites to die before their first birthday.

The report is bound to incense the Bush administration as it provides ammunition for critics who have claimed that the fiasco following Hurricane Katrina shows that Washington does not care about poor black Americans. But the 370-page document is critical of American policies towards poverty abroad as well as at home. And, in unusually outspoken language, it accuses the US of having "an overdeveloped military strategy and an under-developed strategy for human security".
[...]
Child mortality is on the rise in the United States

For half a century the US has seen a sustained decline in the number of children who die before their fifth birthday. But since 2000 this trend has been reversed.

Although the US leads the world in healthcare spending - per head of population it spends twice what other rich OECD nations spend on average, 13 per cent of its national income - this high level goes disproportionately on the care of white Americans. It has not been targeted to eradicate large disparities in infant death rates based on race, wealth and state of residence.

The infant mortality rate in the US is now the same as in Malaysia
High levels of spending on personal health care reflect America's cutting-edge medical technology and treatment. But the paradox at the heart of the US health system is that, because of inequalities in health financing, countries that spend substantially less than the US have, on average, a healthier population. A baby boy from one of the top 5 per cent richest families in America will live 25 per cent longer than a boy born in the bottom 5 per cent and the infant mortality rate in the US is the same as Malaysia, which has a quarter of America's income.
[...]
Hispanic Americans are more than twice as likely as white Americans to have no health cover

The US is the only wealthy country with no universal health insurance system. Its mix of employer-based private insurance and public coverage does not reach all Americans. More than one in six people of working age lack insurance. One in three families living below the poverty line are uninsured. Just 13 per cent of white Americans are uninsured, compared with 21 per cent of blacks and 34 per cent of Hispanic Americans. Being born into an uninsured household increases the probability of death before the age of one by about 50 per cent.

More than a third of the uninsured say that they went without medical care last year because of cost

Uninsured Americans are less likely to have regular outpatient care, so they are more likely to be admitted to hospital for avoidable health problems.
 


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