Donald G.McNeil Jr.

Over the last 25 years, China, Ethiopia, the Maldive Islands, Peru, South Korea and Turkey had the greatest improvements in “deaths avoidable through health care at their economic level,” a complex but intriguing new measure of global mortality described last week in the Lancet. By that standard, the United States improved slightly over the same period, 1990 to 2015. But the American ranking is still so low that it’s “an embarrassment, especially considering the U.S. spends $9,000 per person on health care annually,” said the report’s chief author, Dr. Christopher J. L. Murray, director of the University of Washington’s Institute for Health Metrics and Evaluation, created by the Bill and Melinda Gates Foundation.

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