Middle-aged, white Americans are much sicker than their counterparts in England, startling new research shows, despite U.S. health care spending per person that's more than double what England spends.
A higher rate of Americans tested positive for diabetes and heart disease than the English. Americans also self-reported more diabetes, heart attacks, strokes, lung disease and cancer.
The gap between the countries holds true for educated and uneducated, rich and poor.
"At every point in the social hierarchy there is more illness in the United States than in England and the differences are really dramatic," said study co-author Dr. Michael Marmot, an epidemiologist at University College London in England.
The study, appearing in Wednesday's Journal of the American Medical Association, adds context to the already-known fact that the United States spends more on health care than any other industrialized nation, yet trails in rankings of life expectancy.
The United States spends about $5,200 per person on health care while England spends about half that in adjusted dollars.
"Everybody should be discussing it: Why isn't the richest country in the world the healthiest country in the world?" Marmot said.
"It's something of a mystery," said Richard Suzman of the U.S. National Institutes of Health, which helped fund the study. http://www.cnn.com/2006/HEALTH/05/02/sick.america.ap/index.html
A higher rate of Americans tested positive for diabetes and heart disease than the English. Americans also self-reported more diabetes, heart attacks, strokes, lung disease and cancer.
The gap between the countries holds true for educated and uneducated, rich and poor.
"At every point in the social hierarchy there is more illness in the United States than in England and the differences are really dramatic," said study co-author Dr. Michael Marmot, an epidemiologist at University College London in England.
The study, appearing in Wednesday's Journal of the American Medical Association, adds context to the already-known fact that the United States spends more on health care than any other industrialized nation, yet trails in rankings of life expectancy.
The United States spends about $5,200 per person on health care while England spends about half that in adjusted dollars.
"Everybody should be discussing it: Why isn't the richest country in the world the healthiest country in the world?" Marmot said.
"It's something of a mystery," said Richard Suzman of the U.S. National Institutes of Health, which helped fund the study. http://www.cnn.com/2006/HEALTH/05/02/sick.america.ap/index.html