A cigarette stall in Yekaterinburg, Russia.
A cigarette stall in Yekaterinburg, Russia.
Sergei Melnikov

MOSCOW - Although the World Health Organization (WHO) has been monitoring the state of health in various countries for the past 60 years, it has never explicitly compared countries with one another. So Bloomberg news, using WHO data as well as other data from the World Bank and the United Nations, put together a rating of the healthiest countries.

The comparisons were based on complex criteria - the first one was called “general health level,” which included life expectancy, mortality rates in different age brackets and many other demographic questions. The second criteria had to do primarily with risk factors - the percentage of people who drink and smoke as well as the number of people with high blood pressure or high cholesterol.

The unexpected number one was Singapore, followed by Italy, Australia and Switzerland. The first 20 countries at the top of the list were also all countries with a generally high standard of living.

“It’s logical, that at the top of the list you would have countries with a developed economy,” said Vladimir Shkolnikov, one of the editorial directors of the WTO Russia bulletin. “But it is interesting to notice that, for example, Norway is in 18th place and Israel is in 6th, although Norway is richer. For the population’s health, the government’s social orientation is the most important thing. For example, in Germany it is impossible to imagine having to raise money for a child with leukemia or another serious illness - if someone’s life is in danger, the government will take care of its citizens.”

Russia wound up in the rankings behind many of its neighbors, winding up at 97th place out of 145 countries. Among the former Soviet countries, Russia managed to outstrip only Ukraine, Kyrghizistan, Turkmenistan and Kazakhstan. Experts were unanimous in saying that the biggest challenges for health in Russia are limited access to health care, heavy drinking, smoking, unhealthy eating and a sedentary lifestyle.

“This is not at all to say that Russia is a doomed territory,” Shkolnikov said. “If you take the right measures, then you can see a real increase in life expectancy, and an increase in health among the population - for example, the results of the 1985 campaign against alcohol consumption. More recently, starting in 2004, mortality rates in Russia have been decreasing. In the past year there was a decrease in the number of deaths from heart disease and strokes. Russians started seriously controlling blood pressure, and the quality of drugs and medical care increased. So there are positive changes.”

On the other hand, experts can’t help but be wary of the government’s commitment to health. The budget for 2013 proposes an 8.7 percent reduction in health expenditures in comparison with 2012, and there are even more cuts planned for 2014-2015. Still, health care professionals do note that it is ultimately up to each individual Russian citizen to choose between a generally more active lifestyle or sticking with the same old bad habits.

Elsewhere in the comparative study, a notable disregard for social protections put the United States in 33rd place. Although the country spends the most money on healthcare in the world (17 percent of GDP), tens of millions of Americans don’t have enough money to buy medical insurance.

In terms of general health, the United States came in behind Costa Rica (24th place) and Cuba (28th). Americans often go to Costa Rica for medical procedures - the procedures in the Latin American country are done at an international level, but are much more affordable then in the United States. Cubans have access to universal and free health care, and have an active lifestyle.

You've reached your monthly limit of free articles.
To read the full article, please subscribe.
Get unlimited access. Support Worldcrunch's unique mission:
  • Exclusive coverage from the world's top sources, in English for the first time.
  • Stories from the best international journalists.
  • Insights from the widest range of perspectives, languages and countries
Already a subscriber? Log in
Support Worldcrunch
We are grateful for reader support to continue our unique mission of delivering in English the best international journalism, regardless of language or geography. Click here to contribute whatever you can. Merci!
Geopolitics

Why Ghosts Of Hitler Keep Appearing In Colombia

Colombia's police chiefs must be dismally ignorant if they think it was "instructive" to expose young cadets bereft of historical education to Nazi symbols.

Nazi symbols were displayed in public at the Tuluá Police Academy

Reinaldo Spitaletta

-OpEd-

BOGOTÁ — Adolf Hitler was seen in 1954, wandering around the chilly town of Tunja, northeast of the Colombian capital. The führer was, they said, all cloaked up like a peasant — they even took a picture of him. Later, he was spotted nearby at the baths in the spa town of Paipa, no doubt there for his fragile health.

A former president and notorious arch-conservative of 20th century Colombian politics, Laureano Gómez used to pay him homage. A fascist at heart, Gómez had to submit to the United States as the victor of World War II. He wasn't the only fascist sympathizer in Colombia then. Other conservatives, writers and intellectuals were fascinated by Nazism.

Keep reading... Show less
Support Worldcrunch
We are grateful for reader support to continue our unique mission of delivering in English the best international journalism, regardless of language or geography. Click here to contribute whatever you can. Merci!
You've reached your monthly limit of free articles.
To read the full article, please subscribe.
Get unlimited access. Support Worldcrunch's unique mission:
  • Exclusive coverage from the world's top sources, in English for the first time.
  • Stories from the best international journalists.
  • Insights from the widest range of perspectives, languages and countries
Already a subscriber? Log in
THE LATEST
FOCUS
TRENDING TOPICS
MOST READ