US has the highest rate of maternal deaths among rich nations. Norway has zero

  • Kind of relevant: https://www.noahpinion.blog/p/how-many-of-our-facts-about-so...

    > In 2021, Joseph et al. published a paper in Obstetrics & Gynecology demonstrating that the entire recorded increase in maternal mortality since 2003 was due to a change in the way data was gathered. In 2003, U.S. states began to include pregnancy checkboxes on death certificates. This led to a whole lot more women who died while pregnant being identified as such. The apparent steady increase in maternal mortality was due to the fact that states adopted this new checkbox at different times:

    > In fact, when the authors looked at the common causes of death from pregnancy, they found that these had all declined since 2000, implying that U.S. maternal mortality has actually been falling. Meanwhile, a CDC report in 2020 had found the same thing as Joseph et al. (2021) — maternal mortality rose only in states that added the checkbox to death certificates.

  • Obesity rates in the USA are 42% while in Norway they are 14%.

    Not only that increases the death rates exponentially, but it also diverts money away from other healthcare areas.

    https://en.m.wikipedia.org/wiki/List_of_countries_by_obesity...

  • I rather strongly doubt the "Norway has zero" statement. It does not directly reference any study nor does any other article stating the same. I don't doubt that it is lower or even rounds to 0 per 100,000, but actually 0 is almost certainly wrong.

    In 2021 [0], the deaths per 100,000 in Norway was 1.7 which is ~80 maternal deaths. I find it hard to believe that Norway happened to go from 80 to 0 in two years even including a generous amount of luck.

    0: graph at the bottom of https://www.oecd-ilibrary.org/sites/1ea5684a-en/index.html?i...

  • First, mothers-to-be in the US need single-payer healthcare, not be sentenced to prison for having a miscarriage, and not told they must be dying of sepsis before they can receive healthcare.

    In a Where To Invade Next? (2015)-style of policy prescriptions, the US should copy baby boxes, use policies that work, and measure the results of experiments with creative solutions as long as they work rather than putting the military-industrial complex and profits of big pharma and megahospitals before lives and the standards of living of regular people to not go bankrupt.

  • The US just deserves better. To meet it feels all of this hinges on that zero-sum mentality of "if I help the other guy that means I have it worse", when in reality helping others will also improve the society as a whole. I mean maybe there are people who find appeal in a society of armed, rugged individualists under constant existential stress where even those that "have made it" are at constant risk of crossing paths with a desperate peer at the verge of making a bad decision — but to be honest to me that sounds rather dystopian.

    It is nice to be part of a society that is stable and where people care for each other and the value of that reaches far beyond what the bean counters would quantify in measurable terms — but that doesn't mean there are no measurable terms Q.e.d.

  • > zero maternal deaths: Norway.

    Smallish population, lowish birth rates mean the sample is small?

    Perhaps they strongly advise abortions in the risky cases?

    Perhaps they record maternal deaths differently when there are other factors (ie. a mother who dies of a cancer during childbirth).

  • Yes, and that is a super-bad early indicator. Based on: https://archive.org/details/finalfallessayon00todd/mode/2up

    Trouble ahead.

  • If the US spent more on healthcare, it would save billions in the further decades because the illness' rate would plummet down.

  • As a complementary, would be nice to have the same data for the richest part of the US population.

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  • Regardless of how you feel about diversity or who's fault all the differences in groups are, it's disingenuous to compare the least diverse country in the world to the most diverse like this.

    Wealthy white people in America surely have great maternal mortality rates, too.

  • Interesting timing as one of those freakonomics-wannabee blogs only yesterday tried to discredit the idea that the US had a maternity problem with a weirdly political attack.

    Apparently some statistical change in 2003 somehow caused a much higher death rate of mothers in the decades before it even happened and simultaneously caused a disproportionate amount of black mothers to die.

    You have to be really careful with time-travelling, genocidal statistical errors but apart from that there's nothing we can do to prevent the 80% of these deaths that are preventable, says the only developed country where this happens.

    https://news.ycombinator.com/item?id=40596223

  • In the USA, the main issue is that a lot of people are poor and can’t afford healthcare. And that’s really on them. They have to really do their best, stop being so lazy and just stop being so poor.

    It’s the land of equal opportunity, a level playing field and if you can’t make it, you’re not working hard enough. They should really take personal responsibility seriously.

    If you just felt for a split second any doubt about me being serious or not that should mean something.