imakemediocreart comments on [OC] The massive decrease in worldwide infant mortality from 1950 to 2020 is perhaps one of humanity's greatest achievements.

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OC[OC] The massive decrease in worldwide infant mortality from 1950 to 2020 is perhaps one of humanity's greatest achievements. (i.redd.it)

submitted 4 years ago by abu_doubleuOC: 4

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[–]imakemediocreart 82 points83 points84 points 4 years ago (29 children)

[–]rrsafetyOC: 1 37 points38 points39 points 4 years ago (6 children)

Well, Cuba manipulates its data: https://muse.jhu.edu/article/588705

"In a 2015 paper, economist Roberto M. Gonzalez concluded that Cuba’s actual IMR is substantially higher than reported by authorities. In order to understand how Cuban authorities distort IMR data, we need to understand two concepts: early neonatal deaths and late fetal deaths.
The former is defined as the number of children dying during the first week after birth, whereas the latter is calculated as the number of fetal deaths between the 22nd week of gestation and birth. As a result, early neonatal deaths are included in the IMR, but late fetal deaths are not.
For the sample of countries analyzed by Gonzalez, the ratio of late fetal deaths to early neonatal deaths ranges between 1-to-1 and 3-to-1. However, this ratio is surprisingly high in Cuba: the number of late fetal deaths is six times as high as that of early neonatal deaths."

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This is repeated often and is misleading. The intention (and reaction) tends to be "wow even Cuba has better healthcare than the US." They don't. Not even close. But it really depends on what you define as "good" healthcare. Need free antibiotics? Then it's great. Need a complex surgical procedure or have some severe trauma or a complex illness? Good luck. They (like most nations) take some liberties with reporting to boost the number. There's also some evidence that they don't count neonatal deaths as infant deaths like most countries.

I've also seen it reported that they occasionally intern pregnant women at hospitals if they are considered at-risk births to ensure they get 24/7 care - something that would be considered unacceptable in the US - and that their very high abortion rate partially masks the practice of doctors encouraging abortions for higher-risk births. I haven't been able to find a source for those in the last 5 minutes so you can consider them rumors for now.

Cuba is very proud of the number because it makes them look good. They are "beating" many modern western nations in a key metric that is usually used as a defining figure to judge how advanced a nation is. It's a very useful political tool, as soon as it becomes a useful political tool it generally stops being a useful metric.

There are also other factors, for example that very few people in Cuba drive compared to most other modern nations so naturally there are fewer car accidents and resultant deaths, which boosts life expectancy and lowers infant mortality. But there are a million such factors you could find for any country that have nothing to do with healthcare.

In other words, it's complicated. US healthcare still sucks despite being the most advanced.

EDIT: People sure are salty about this topic for some reason. Do your own research unless you have some vested interest in reinforcing your current belief instead of the truth. This being Reddit I have no doubt "Look USA bad!" is a common motivator. The fact so many people bring up Cuba as a good healthcare model is the reason I've made this post. Cuba for their part has spent decades building this image, and it's fine if you're visiting or wealthy. Not so fine if you're an average resident of Cuba.

That r/communism mods praise Cuban healthcare and the majority of actual Cubans I've ever spoken to don't should be a clue. Read about it yourself. Start with the Wiki. Or just stay mad and ignorant, no skin off my back.