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The Guardian - UK
The Guardian - UK
Comment
Devi Sridhar

The US public is fed up with RFK Jr. To really ‘make America healthy again’, it should look to Europe

Robert F Kennedy Jr at the inaugural Make America Healthy Again summit in Washington DC, November 2025
Robert F Kennedy Jr at the inaugural Make America Healthy Again summit in Washington DC, November 2025. Photograph: Rod Lamkey/AP

I’m just back from my home country, the United States. I always enjoy visiting, but every time I go between the US and my adopted home of Europe, I’m keenly aware of disparity in health: Americans live much shorter lives and spend more of their lifetime in poor health. This is despite Americans earning some of the highest salaries per capita in the world and spending twice as much as comparable countries on healthcare.

A recent study in the New England Journal of Medicine of 74,000 adults found that even the wealthiest Americans had higher mortality rates than the wealthiest Europeans – and that the richest Americans had mortality rates comparable to the poorest residents of northern and western Europe. Across every wealth category, Americans were more likely to die younger than Europeans, suggesting that even wealth doesn’t insulate from larger factors that impact life expectancy.

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