21st Century Public Health Outcomes in America and Other Western Nations in Search of Social Justice “what America might thou do, that honour, would have thee do?” between Rhetoric and Action.
Professor Colin Pritchard, Richard Williams, Dr.Anne Silk, Emily Rosenorn-Lann, Dr. Lars Hansen and Professor Emeritus
Abstract
To examine how well has America has improved social justice based upon its constitutional ideals, compared between rhetoric and current activity. By measuring USA Public Health results during the 21st Century compared to the twenty Other Western Nations (OWN) we aim to determine” what America might thou do, what honour, would have thee do?” Methodology: Data from the many studies draws upon sources from WHO, World Bank, National Vital Statistics and OECD health and socio-economic outcomes, which is the widest range ever of so many comparative series of international research on mortality rates, including suicides, cardiovascular, cancer, neurological, sepsis, child mortality, violence and environmental impacts and ethnic differentials, to juxtapose against American historical ideals, all measured by population controlled international mortality studies. Results: America had highest Western child and adult mortality; child-abuse-related-deaths; sepsis; heart disease, civilian violence rates; widest income inequality, second highest neurological deaths, disproportional Africa-American mortality - indicative of multi-interactive environmental factors. If America had matched average Western death rates, fewer 561,837 American had died. If Africa-American mortality averaged other ethnicities, there would have 94,422 fewer deaths, 26% less. USA %GDP health expenditure is West’ highest, so when juxtaposed against American mortality rates, clearly the US health system is the least effective. Conclusion: Public health, policy, and practice, must challenge the structural socio-economic and environmental problems related to social injustice. If true to be itself America must narrow the gap between rhetoric idealism and action, then the USA “thou do, that honour, would have thee do?”