6 ms·
Tl;dr: Japan
by homeless_engi 1y ago
Tl;dr: Japan
- insane_dreamer 1y agomore precisely: Japan at the top, US at the bottom (among wealthy countries)
- FirmwareBurner 1y agoCould it be that Japan is so incredibly clean everywhere? Metro stations there feel as clean as hospitals. Everyone wearing masks, etc.
- pixl97 1y agoProbably not. It's much more likely more resources being provided during pregnancy, the country is very concerned about its current fertility rate.
- mystified5016 1y agoMore that the government understands they have a vested interest in caring for (as opposed to exploiting) its population. That's why the US is always at the very bottom of rankings like this.
- rwmj 1y agoYes it's very obvious having spent much time in Japan that the government actually works for the people instead of regarding them as an inconvenience.
- FirmwareBurner 1y agoIf the Japanese gov actually cared about its people, they would enforce some overtime regulations on companies.
- Muromec 1y agoThat's like most rich countries with more or less democratic government. US is just corrupt to the levels only achievable by Eastern Europe.
- rayiner 1y agoThe U.S. has beginning to end health care for pregnancy and child birth. Its infant mortality rate (5.4) isn’t really much higher than Canada (4.7), which has a socialized healthcare system.
- const_cast 1y agoWhich seems kind of okay, except when you consider that we pay significantly more per-capita for healthcare as opposed to Canada. Yes, that includes if you take into account taxes, and it's not even close. Sure, we're not the absolute worst, but we are the most expensive. And, for that, we get close to the worst results. Clearly, our healthcare system is broken in a variety of complex ways.
- rayiner 1y agoAs far as I can tell, we pay more for healthcare for the same reason we pay more for schools and more for subways. We’re a low competence, low trust society, and have to compensate for it by making everything subject to litigation to the point where the country is effectively run by lawyers. My six year old boy ran into a table and got a black eye. Took him to the doctor (because my wife made me), who physically examined him and saw he was fine. But ordered a CT scan anyway (which we got the same morning because this is America). No sane healthcare system would order a CT scan for this! But in our litigation-driven system, the doctor has to do it, because in the extremely unlikely situation that there was an undetected internal bleed, he’d get sued. And some expert would get on the stand and say the standard of care is to order a CT scan every time a six year old boy does a six year old boy thing.
- const_cast 1y agoI don't think this is the sole reason why, I think private sector inefficiency is a big reason why, too. We have an extremely fragmented system that breeds inefficiency. Thousands of insurers, so hospitals have hundreds of billing specialists. Thousands of plans, so the complexity of what is and isn't covered explodes beyond belief. There's no streamlining, no centralization, no authority. Just bickering and "erm, ackshually" from every party. Every interaction has extremely high friction that comes with a massive, fragmented system. It's like a microservice architecture with thousands and thousands of microservices. Except their contracts aren't always published, sometimes you need to call them on the telephone. And sometimes you just have to try requests and see if they get denied. Also, I think a CT for head injury is fairly standard practice. I think they do that in Europe. Anyway I had some pain somewhere inconspicuous once and it was cancer, so. I don't think the issue is we image too much.
- bamboozled 1y agoThey have a lot of pediatric doctors compared to the number of babies born, thus babies are receiving more attention ?
- otherme123 1y agoAlso parents being paid for raising their babies.
- TrackerFF 1y agoBut more interestingly, Japan and the Nordics. Interesting in the sense that the Nordics have a vastly different healthcare system than Japan.
- ty6853 1y agoI have no idea how this tracks to births, but I did some studies before of Nordic homicide rate, and if you drop an actual Nordic citizen in similarly white homogenous states like new hampshire their murder rate isn't terribly worse than it is in a Nordic nation. My hypothesis is there may be something like this effect happening, where once you control for nordic people in similarly white states I bet they'd have much closer to nordic birth risk.
- tokai 1y agoWhat about looking at economic strata instead at ethnicity?
- ty6853 1y agoSure, take a look at Bahamas or Seychelles, "rich" black countries almost as high GDP per capita as some of the nordic nations (PPP adjusted in Seychelles case). Still with infant mortality in the relative shitter. Or compare hispanic to blacks at similar income in USA, they knock them out the park on infant mortality.
- keybored 1y ago> Sure, take a look at Bahamas or Seychelles, "rich" black countries almost as high GDP per capita as some of the nordic nations. Still with infant mortality in the relative shitter. The Seychelles Gini coefficient is higher than Sweden. There doesn’t seem to be data on the Bahamas.
- ty6853 1y agoNot by much. 0.32 vs 0.30 by this estimate https://ourworldindata.org/grapher/economic-inequality-gini-index https://ourworldindata.org/grapher/economic-inequality-gini-...
- _DeadFred_ 1y agoHistorically (at least up until the late 90s) Japan, France and maybe others had a much different point of death included as death at birth that skewed infant mortality numbers. I'd like to see more than a bullet point 3 to understand how/when that was changed.