The infant mortality rate in the United States is the second highest in the world. Infant mortality rate is much higher in the US among poorer minorities.
One of the main reasons, according to the AMA, is inequitable access to health care. Especially among those who are very poor, and among teens who have children.
In contrast, those countries with free and easy access to health care have the lowest infant mortality rates.
The other common factor was education on, and availability of, birth control. Countries with free and easy access to health care also had better education and access to birth control.
Of interest is the fact that under our existing system, the US spends more on health care than any other country per capita, yet we have the second highest infant mortality rate, and rank 38th in life expectancy, behind every other developed nation.
Let's take your assertions one by one.
The infant mortality rate in the United States is the second highest in the world.
Not sure where you pulled this from. The US ranks 33 out of 195 countries, according to the latest UN statistics.
List of countries by infant mortality rate - Wikipedia, the free encyclopedia
Infant mortality rate is much higher in the US among poorer minorities.
You're right. And the US has a higher "poor minority rate" than most, if not all, of the countries which have a lower infant mortality rate (take a gander at the countries in the list provided by my link above).
One of the main reasons, according to the AMA, is inequitable access to health care. Especially among those who are very poor, and among teens who have children.
Please clarify what you mean by "inequitable access." This smacks of political jargon to me. In numerous posts on this thread and others, I've shown that the programs for free or greatly reduced medical insurance are available. However, for whatever reasons, all those who qualify are not enrolled. Why is this?
Take Alabama for example - with the highest infant mortality rate in the US (and one of the highest low income and minority rates as well). There are PLENTY of state and federal programs in place, but the women and children who qualify are not enrolling in strong numbers.
We have to figure out why, and we have to figure out how to get this information into their hands. Even so, we can't force them to enroll, and we can't force them to take advantage of the wide array of services that are available, at a state, federal, and private level.
In contrast, those countries with free and easy access to health care have the lowest infant mortality rates.
In contrast, those countries who rank above us with better infant mortality rates, also have more homogenous populations, they are much smaller countries, in both population and size, and they have less diversity.
The more congruent a society is, and the less diversity, the easier it is to create and maintain successful programs to meet the less diverse needs of that society. The more diversity, the more challenging this becomes. The US is one of the, if not THE, most diverse nations with one of the largest populations in the world.
Our challenges differ greatly from the challenges of Iceland, Singapore, Japan, or Switzerland, just to name a few countries with lower infant mortality rates.
The other common factor was education on, and availability of, birth control. Countries with free and easy access to health care also had better education and access to birth control.
Education on birth control? Please name a state in which this education is not readily available to teens and young adults via state and federal programs. I don't know - I graduated from high school thirty years ago in rural Georgia, and we had comprehensive sex education, and condoms, readily available in our high school.
From Wiki:
Almost all students in the U.S. receive some form of sex education at least once between grades 7 and 12; many schools begin addressing some topics as early as grades 4 or 5.
[1] However, what students learn varies widely, because curriculum decisions are so decentralized. Many states have laws governing what is taught in sex education classes or allowing parents to opt out. Some state laws leave curriculum decisions to individual school districts.
[2]
Sex education in the United States - Wikipedia, the free encyclopedia
In order to see the correlation between effective sex education and infant mortality/teen pregnancy rates/venereal disease rates/etc. we would need to look at each state's rates and educational when it comes to sex education. If you have a source for that, please give it.
My point though is that, just as with health insurance, people must USE the available programs in order for them to be effective.
Until we figure out why people who are eligible do not enroll in and participate regularly in available programs, we're shooting in the dark - with tax dollars and our federal and state budgets.
I'm not a fiscal hard ***, I'm just opposed to fiscal irresponsibility.
Of interest is the fact that under our existing system, the US spends more on health care than any other country per capita, yet we have the second highest infant mortality rate, and rank 38th in life expectancy, behind every other developed nation.
For starters, your continued assertion that the US ranks second in the world in infant mortality rates is simply wrong.
You're right about the US ranking 38th in life expectancy. For perspective, let me point out that that is out of 191 countries. That puts us in the top 20 percent worldwide.
Notice the congruity between our infant mortality rate and our life expectancy rate. This is to be expected, and it's for basically the same reasons.
We don't rank higher for the same reasons our infant mortality rate is higher than some countries - we have a more diverse population and a higher ratio of minorities, who have a higher ratio of poverty.
We DO spend a lot of money on healthcare - which is why we are a superpower worldwide when it comes to health research and cutting edge technology. It's also why people flock to the US to take advantage of our health resources.
Free enterprise encourages research, innovation, and resources. Who takes advantage of those available options depends on many factors - not simply availability.
As I've stated repeatedly, when we figure out WHY some demographic groups do not access available programs, we can figure out how to facilitate a higher rate of enrollment and participation.
But first we need to figure out WHY - and that takes objective analysis and a deep understanding of the diverse cultures within our American society.
We can't cloud our analysis with our own agendas or preconceived notions, or we will never accurately pinpoint the reasons and therefore reach a true solution.