from the world's big
USA ranked 27th in the world in education and healthcare — down from 6th in 1990
America continues to tread water in healthcare and education while other countries have enacted reforms to great effect.
- The American healthcare and education systems are known to need some work, but a new study suggests we've fallen far in comparison to the rest of the world.
- The findings show what progress, if any, 195 countries have made over the last twenty years
- The study suggests that economic growth is tied to human capital, which gives a dire view of America's economic prospects.
The concept of human capital has only been around since the '50s but it's become an increasingly popular way of looking at the economic potential of countries. Typically defined as "the attributes of a population that, along with physical capital such as buildings, equipment, and other tangible assets, contribute to economic productivity" it includes things such as education levels, skill sets, and other intangible items that foster economic growth.
While we already know that a countries' average education level is associated with its economic growth, a recent study looking into the growth of human capital around the world over the last 26 years has included healthcare outcomes to the mix. While it was created to help motivate lower and middle income countries to increase their human capital investment, it offers a harsh look at the progress the United States has made over the previous 20; if any.
As part of the World Bank's call for more data on human capital, a team of researchers at the Institute for Health Metrics and Evaluation at the University of Washington scoured over three decades worth of educational and medical data to help create an index showing the levels of human capital for every country in the world for both 1990 and 2016.
In this study, human capital was defined as "expected years lived between the ages of 20 and 64." Adjustments were also made for health and education levels, which were also ranked and compared. The four variables listed in the final analysis were expected years lived between 20 and 64, functional health status, years of educational attainment, and learning or education quality.
All of this was then fused into a single "expected human capital" score for each country.
That’s great and all, but where is my country?
School children in the Central African Republic. Fostering human capital by means of education and improved healthcare systems is especially important in developing countries where growth projects typically focus on material goods.
(ALEXIS HUGUET/AFP/Getty Images
The United States fell 21 spots over the years from 6th to 27th. This places us in the company of Germany (24), Greece (25), Australia (26), and the Czech Republic (28). The top spots are dominated by Western European and Nordic countries, with Finland topping the list both in 1990 and 2016. South Korea and the Republic of China are the only non-European representatives in the top 10 for 2016, edging out Canada, which fell to 11th place.
Wait, how did that happen?
One problem was that America's scores declined in one significant category, educational attainment. The decrease in education spending during the time period studied might have caused this. Nevertheless, countries that increased spending in analyzed areas, such as Turkey and both Chinas, saw tremendous improvements in their position on the list.
That was the only dimension where the United States saw a decline, however. The other categories saw improvement — albeit marginal. The primary reason why the U.S. fell so far was that other countries were able to improve their scores by a lot more than America was. Austria, for example, was ranked 19th in both 1990 and 2016 but saw substantial gains across the board, allowing it to surpass the United States.
But, we spend so much money!
It's not that Americans don't spend a lot of money on these things. As a matter of fact, the U.S. spends more per student than almost any other country on education and way more than anybody else on healthcare.
The problem, or at least part of it, is that much of this money is spent inefficiently. The Nordic countries, which dominate the top spots on the list, have universal healthcare which provides better outcomes at a lower price than the American system does. Because of this system, the cost of drugs and health care administration is lower in Europe than in America. Last year, half a billion dollars was spent on lobbying on behalf of healthcare providers, pharmaceutical companies, and insurance companies which could have been spent on actual healthcare.
Today, there are still around 30 million Americans without health insurance despite progress over the last decade. The number of those uninsured has increased in the last couple of years due to rollbacks on Medicaid and reduced advertising of government programs.
These inefficiencies add up to mean that, despite increased spending, America's human capital scores hardly moved over the last three decades.
What does this all mean?
The study reconfirms the relationship between human capital and economic growth. With countries that make the most substantial investments in their populations seeing higher growth rates as a result. This could speak poorly for the future growth prospects of the United States if its relative position continues to decline.
President Jim Yong Kim of the World Bank hopes the data collected will help spur further investment by governments into education and healthcare. He framed the benefits of a single, comprehensive human capital index as a motivating force.
With the right measurements, an index ranking the human capital in countries will be hard to ignore, and it can help galvanize much more — and more effective — investments in people
The findings also offer a bit of good news for the world. Even the country that came in last place, Niger, made progress over the years. It just did so at a slower rate than everybody else.
If nothing else, the relative decline of the United States over the last few decades shows that no country can rest on its laurels. Like the Red Queen in Through the Looking Glass tells us, "It takes all the running you can do, to keep in the same place. If you want to get somewhere else, you must run at least twice as fast as that!"
Ever since we've had the technology, we've looked to the stars in search of alien life. It's assumed that we're looking because we want to find other life in the universe, but what if we're looking to make sure there isn't any?
Here's an equation, and a rather distressing one at that: N = R* × fP × ne × f1 × fi × fc × L. It's the Drake equation, and it describes the number of alien civilizations in our galaxy with whom we might be able to communicate. Its terms correspond to values such as the fraction of stars with planets, the fraction of planets on which life could emerge, the fraction of planets that can support intelligent life, and so on. Using conservative estimates, the minimum result of this equation is 20. There ought to be 20 intelligent alien civilizations in the Milky Way that we can contact and who can contact us. But there aren't any.
Building a personal connection with students can counteract some negative side effects of remote learning.
- Not being able to engage with students in-person due to the pandemic has presented several new challenges for educators, both technical and social. Digital tools have changed the way we all think about learning, but George Couros argues that more needs to be done to make up for what has been lost during "emergency remote teaching."
- One interesting way he has seen to bridge that gap and strengthen teacher-student and student-student relationships is through an event called Identity Day. Giving students the opportunity to share something they are passionate about makes them feel more connected and gets them involved in their education.
- "My hope is that we take these skills and these abilities we're developing through this process and we actually become so much better for our kids when we get back to our face-to-face setting," Couros says. He adds that while no one can predict the future, we can all do our part to adapt to it.
Frequent shopping for single items adds to our carbon footprint.
- A new study shows e-commerce sites like Amazon leave larger greenhouse gas footprints than retail stores.
- Ordering online from retail stores has an even smaller footprint than going to the store yourself.
- Greening efforts by major e-commerce sites won't curb wasteful consumer habits. Consolidating online orders can make a difference.
A pile of recycled cardboard sits on the ground at Recology's Recycle Central on January 4, 2018 in San Francisco, California.
Photo by Justin Sullivan/Getty Images<p>A large part of the reason is speed. In a competitive market, pure players use the equation, <em>speed + convenience</em>, to drive adoption. This is especially relevant to the "last mile" GHG footprint: the distance between the distribution center and the consumer.</p><p>Interestingly, the smallest GHG footprint occurs when you order directly from a physical store—even smaller than going there yourself. Pure players, such as Amazon, are the greatest offenders. Variables like geographic location matter; the team looked at shopping in the UK, the US, China, and the Netherlands. </p><p>Sadegh Shahmohammadi, a PhD student at the Netherlands' Radboud University and corresponding author of the paper, <a href="https://www.cnn.com/2020/02/26/tech/greenhouse-gas-emissions-retail/index.html" target="_blank">says</a> the above "pattern holds true in countries where people mostly drive. It really depends on the country and consumer behavior there."</p><p>The researchers write that this year-and-a-half long study pushes back on previous research that claims online shopping to be better in terms of GHG footprints.</p><p style="margin-left: 20px;">"They have, however, compared the GHG emissions per shopping event and did not consider the link between the retail channels and the basket size, which leads to a different conclusion than that of the current study."</p><p>Online retail is where convenience trumps environment: people tend to order one item at a time when shopping on pure player sites, whereas they stock up on multiple items when visiting a store. Consumers will sometimes order a number of separate items over the course of a week rather than making one trip to purchase everything they need. </p><p>While greening efforts by online retailers are important, until a shift in consumer attitude changes, the current carbon footprint will be a hard obstacle to overcome. Amazon is trying to have it both ways—carbon-free and convenience addicted—and the math isn't adding up. If you need to order things, do it online, but try to consolidate your purchases as much as possible.</p><p>--</p><p><em>Stay in touch with Derek on <a href="http://www.twitter.com/derekberes" target="_blank">Twitter</a>, <a href="https://www.facebook.com/DerekBeresdotcom" target="_blank">Facebook</a> and <a href="https://derekberes.substack.com/" target="_blank">Substack</a>. His next book is</em> "<em>Hero's Dose: The Case For Psychedelics in Ritual and Therapy."</em></p>
Chronic irregular sleep in children was associated with psychotic experiences in adolescence, according to a recent study out of the University of Birmingham's School of Psychology.