Wolfpup, I don’t disagree with your statement as a whole, but I disagree on a few points:
This is overstated. While the US is #35 the difference between the US and Monaco (#1) is less than 5 years of age. We’ve been gaining expectancy as our levels of violence have been decreasing. We had a fairly large drop in the early 1990’s when we had a rash of violence, especially in gangs that caused younger people to die, skewing our life expectancy quite a bit. We’ve been on the mend since that, er, “epidemic” died down.
This is less due to medical reasons and more to do with social ones. Americans, especially the middle class, are far more likely to warehouse our elderly in group home situations than to care for them as a member of the family. Other cultures tend to do this less than we do and only send them to a group home when they absolutely can’t be taken care of by the family. Combine this with the American innate sense of “cheap = betterer” and you find a cheaper place that cuts corners to save your family money - which leads to a lesser quality of life.
This is also due in some part to factors that aren’t medical. First, American hospitals will tend to go to any length to save a fetus, even very early ones. If you are a mother with child and you get fatally injured in a car wreck, your child will be delivered and attempted to be kept alive as a preemie much earlier than a lot of other countries.
Second, we report deliveries as immediate (I’ve heard it described as “it breathed air, so it’s a delivery”) while other countries only report it as a delivery if the infant survives a certain amount of time after delivery, which varies.
As for Universal Health Care, I’m with you. But I don’t think the ACA is the answer and I agree with the sentiments that it costs six arms and fourteen legs, precisely because it concentrates on what makes the insurance companies money (electronic records, P4P, and so forth) and not what other countries have done to save money overall while also providing good care.
The sentiment of Americans for Prosperity is right, even if their plans are worse than the ACA. But I’m less than shocked that bad political ideas would get wrapped up in whatever Americans have a current issue with.