Peter Attia gives a holistic overview of why our health care is so broken. In the past decade, social determinants of health have become a part of the health record. This is a measure of societal impact on your life. Attia has noted when he travels the difference in societal stress from America. America ranks #35 in terms of our overall health, and #55 in terms of life expectancy.
Societal issues such as work/life balance, cooking more at home, eating out less (processed foods), and walking more, as seen in Europe all contribute to life expectancy.
One good measurement of health is longevity. The United States is not a winner in that regard. The only category we are number one in is our expense. From 1980 to 2019, Commonwealth Fund found that the U.S. spent nearly 17 percent on health care as a percentage of its gross domestic product (GDP). Other countries, like Switzerland, the U.K., Australia, Norway, and more, spent well below that but still earned higher healthcare performance scores. The forecast is not good. Our life expectancy is decreasing, and this was true pre-COVID.
Life expectancy has dropped: Why it matters
This chart is for the overall life expectancy for Americans, however, there are large deviations for some demographics.
Here are the states with the largest declines in life expectancy
The U.S. fares significantly worse than other developed countries, with the Commonwealth Fund finding Japan has an average life expectancy of 84.4 years, Spain and Switzerland at 84 years and Canada averaging 82.3 years.
The chart below is another view.
African Americans have consistently lagged in life expectancy although the gap is closing.
Economic Growth and Life Expectancy – Do Wealthier Countries Live Longer?
There are many determinants of longevity, and do not always correlate with income, or race. Nutrition and lifestyle are important as well.
Health expenditure as a percentage of gross domestic product (GDP) in selected countries
Prevention
Certain diseases can be detected, however, no one test detects early disease.
Breast Cancer, Cervical Cancer, Colon Cancer, and Prostate Cancer can be detected early.
Mental health issues are significant factors, depression, suicide, and risky behavior all contribute to premature death. There is little doubt smallpox, poliovirus and measles have been eliminated which has increased longevity in the past century.
There are many things in action that can contribute to improved quality of life and life expectation.
During the past decade, we have progressed from Health 2.0 and Health 3.0. Today we have entered Health 4.0. Despite rapid technological advances such as remote monitoring, electronic health records, and fewer uninsured our life expectancy has decreased. Peter Attia seems to have put all of it together and I hope my article can disseminate his words and a few of my own.
Medical 4.0 is the fourth medical revolution, employing emerging technologies to create significant advancements in healthcare. New medical 4.0 technology has advanced significantly, ranging from mobile computing to cloud computing, over the previous decade and is now ready to be employed as a commercially accessible, networked system. Such things as virtual reality, artificial intelligence, networked hospitals and medical clinics create huge data banks for analysis.
References:
Outlive, The Science and Art of Longevity (Peter Attia)
Amazon Books about Longevity
Measuring biological aging in humans: A quest Aging Cell. 2020 Feb; 19(2): e13080.Published online 2019 Dec 12. doi: 10.1111/acel.13080
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