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$217 million per hour on healthcare, but U.S. still falls short

6:01 PM, July 23, 2008

In testimony before the congressional Joint Economic Committee today, experts on education, economics and healthcare testified about how Americans are doing. Some -- very, very good. Others --not so much.

But one group, the American Human Development Project, an organization that looks at how Americans fare in the areas of health, education and income, for the first time put all three rankings together. They call the category "Human Development," and ranked the U.S. No. 12 among industrial nations in a report released this month.

"The indicators most frequently deployed in evaluating public welfare in the United States -- GDP, the Dow Jones and NASDAQ, consumer spending and the like -- only address one aspect of the American experience. The human development model addresses the broader everyday experience of ordinary people," the report says.

Despite the second-highest income in the world, despite being the the world's No. 1 economy, and despite spending $5.2 billion a day on healthcare -- more than any other nation -- America landed behind 11 other countries in overall human development.

One of the main problems was that one in six Americans don't have health insurance. That limitation is connected to such factors as lower life expectancy and higher infant mortality. The U.S. also has the highest percentage of children living in poverty of the 30 richest countries. The top 20% of income earners in the U.S. make 15 times more than the bottom 20%. And 14% of Americans lack the literary skills to understand newspaper articles or navigate instruction manuals. Those measures -- education, poverty, poor health and shorter lifespan -- have all been shown to be interconnected.

"Human development is concerned with what I take to be the basic development idea: namely, advancing the richness of human life, rather than the richness of the economy in which human beings live, which is only a part of it," the Nobel laureate economist Amartya Sen, who developed the HDI in 1990, said in a July 17 article in the Guardian.

It seems it's not just the economy, stupid, when it comes to human development. It's also health, education and income.

-- Susan Brink

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Tami Dennis, who takes the word "skeptic" to previously uncharted territory, is editor of The Times' Health section. She's adamant that pitches promoting awareness days, weeks or months are, by their nature, non-stories. And, because she's an adult, she refuses to use words like "veggies," "tummy" and "yummy."
Rosie Mestel, Health section deputy editor, studied genetics before abandoning flies, fungi and DNA for health/medical writing. Her hero is the biologist Ernst Haeckel, whose jellyfish paintings inspired snazzy chandeliers. Her favorite toast-spread is Marmite, a British delicacy made of yeast extract. Her least-favorite word is "millenniums."
Susan Brink has made health and medicine her beat for 26 of her 28 years in the business. She’s covered a wide range of disease and health policy stories, and is always on the lookout for fresh angles. Few things make her happier than busting through preconceived notions to give readers an accurate view of people behaving as…well, real people.
Melissa Healy is a staff writer for the Health section reporting from Washington D.C. Healy's a veteran of The Times' National staff, having covered the Pentagon, Congress, poverty and social welfare, the environment, and the White House before shifting to Health in 2003. She writes frequently about mental health and human behavior, about federal health policy, prescription medication and ethics in medicine. More wonk than wellness freak, Healy chooses to believe in the health benefits of coffee and wine, and considers water a better work-out medium than beverage.
After a brief stint as a sports writer, Shari Roan turned to health journalism and has covered the topic for The Times for 18 years. She is the author of three books and the mother of two daughters, both teenagers who refer to her as a "health freak." She likes to jog, watch baseball and is very happy that dark chocolate contains some health benefit.
Jeannine Stein writes about fitness, sports medicine and obesity for the Health section. She’s a gym rat from way back and never met an elliptical trainer she didn’t like. Well, maybe one or two. She tempers exercise with a steady diet of reality television because she believes it’s all about balance.