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First, thank you SO MUCH for your personal service. This should never devolve into a mere academic issue, to win fake points in some impersonal debate with someone online that will never meet irl. But if it was that, then you are definitey winning in the boots-on-the-ground sense, and I for one think that's so freaking awesome!:-P
Yeah I do not know everything, I just know what I read, e.g. https://www.ajmc.com/view/us-has-highest-infant-maternal-mortality-rates-despite-the-most-health-care-spending. Ofc not every place world-wide is the same, and not every place in the USA is the same either, though I find it highly troubling that not just one but many places inside the USA has an infant mortality rate worst than SOME (though not all) nations that are considered "third-world" (e.g. https://www.uhhospitals.org/blog/articles/2019/04/addressing-the-health-crisis-of-black-maternal-death-and-infant-mortality, and this was even from several years ago before the recent data - COVID? - pushed our ranking down from 32 to 51st).
Though details aside, yes it could always be worse, I cannot argue with you there:-). Mostly I think it means that we should not pat ourselves on the back saying "good job, America!" b/c there's so much that remains to be done. But also, I don't see how telling people who are grieving the loss of their futures that it can always get much worse is going to help? Then again, we are only dancing around semantics here - regardless of how it is phrased or handled, I do agree that we need to adjust our expectations moving forward, and opening our eyes to check our first-world privileges is a fantastic start to that:-).
This is a valid concern, and it's true you can measure QoL on a variety of different metrics.
I'd be really curious to know by what the infant mortality rate is so high in the US specifically, what's killing them by comparison?
Cuz I know their Healthcare statement isn't great but still, it's hard to imagine it's doing that bad, is another factor at play? Their poverty isn't bad enough to explain it, and I dunno if gun violence plays a huge role for infant deaths (child and teen deaths though, absolutely)
What's the cutoff for infant? Old enough for guns to start factoring in, cuz that's a serious issue on its own as well.
I truly don't know. But why would poverty be insufficient to account for it? If you lack access to medical care facilities, it's a whole different world. "Third-world" nations at least have a history of midwives and such, but in the USA if the "expectation" was to go to the hospital, but then you don't actually go, the facilities that are available can be lesser. There is also a segment of society where rich women choose to use midwives rather than go to care facilities, and I wonder how much that plays a role as well (in terms of infant deaths not due to poverty, but bc of misinformation).
https://www.cdc.gov/reproductivehealth/maternalinfanthealth/infantmortality.htm - admittedly I am no expert at reading this, but it looks like poverty at first glance. Moreover, it looks like if not all the right-wing-controlled areas, at least the ones that are the most racist - looking at the race distribution table it is, how shall we say, not white people even in those areas. Almost like "those people" (non-white) are allowed to pay taxes, but when it comes time to apportion the spending priorities, the white people in charge choose to spend elsewhere, every time. Access to food, ability to get away from toxins, as well as pregnancy-specific concerns.
Interestingly (to me), the causes of infant deaths in America seem very different (again to my unpracticed eye) than those worldwide: https://www.nichd.nih.gov/health/topics/infant-mortality/topicinfo/causes.
But I could be biased, after having watched this: https://youtu.be/-v0XiUQlRLw?si=3CruIh83bPWX6dKA. That's probably a good thing, since we should be biased towards facts:-). I hope that video helps explain my contention that there is not just one single "American experience", and rather there is kind of a second experience altogether depending on skin color and location. And the latter overlaps nontrivially with "third-world" nations, despite being amidst the land of plenty.
Part of what made America a beacon of hope for the world was how while it had its top people and the people mashed down at the bottom, same as everywhere, most of the people were somewhere in the middle. Whereas now, the bottom isn't so much getting any lower (if anything it should mainly rise as medical stuff becomes even cheaper over time?) but the average is dropping, fast, to get closer to joining it.:-| Though ofc it still has a long way to go, and things may always change in the meantime (even if that looks doubtful right now).