From Fortune · Lena Borrelli · · 2m
America's richest die sooner than Europe's poorest
A Brown University study of 73,000 adults found that even wealthy Americans have worse survival rates than most Western Europeans, despite higher healthcare spending.
In brief
A Brown University study of 73,000 adults found that even wealthy Americans have worse survival rates than most Western Europeans, despite higher healthcare spending. A Brown University study found America's wealthiest quartile has mortality rates 35 percent higher than northern and western Europe's richest, despite…
America's record income and lifespan
Median household income hit eighty seven thousand four hundred sixty dollars in twenty twenty five, the highest since nineteen sixty seven. Life expectancy reached seventy nine years in twenty twenty four, also a record.
The plot twist
A Brown University study published in the New England Journal of Medicine found Americans die sooner than Europeans at every wealth level.The richest Americans fare no better than the poorest in much of Western Europe.
“The plot twist is that even the wealthiest quartile of Americans does not have better outcomes than most of northern and Western Europeans.”
Study tracked 73,000 adults

Researchers followed more than seventy three thousand adults ages fifty to eighty five in the U.S.and sixteen European countries starting in twenty ten for about a decade, using the U.S.
Mortality gap between richest
The wealthiest people in northern and western Europe had a mortality rate about thirty five percent lower than the wealthiest Americans.
Continental Europe's death rate advantage
Across the board, people in continental Europe died at rates about forty percent lower than Americans over the study period. In southern Europe, death rates were about thirty percent lower.
U.S. spends far more on healthcare
The U.S.spent an estimated fourteen thousand seven hundred seventy five dollars per person on healthcare in twenty twenty four, nearly seven thousand dollars more than comparable wealthy countries.
Lifestyle and structural factors
Americans tend to have less healthy diets and more sedentary lifestyles.Smoking and rural living, both tied to poorer health, were more common in the U.S.
Researchers call for systemic change
Researchers say improving U.S. health requires understanding underlying factors contributing to differences with Europe, particularly among similar socioeconomic groups. They emphasize learning from other countries rather than simply spending more money on healthcare.
“It's not necessarily about spending more, it's about addressing the factors we're overlooking, which could deliver far greater benefits than we realize.”
The essence
A Brown University study found America's wealthiest quartile has mortality rates 35 percent higher than northern and western Europe's richest, despite the U.S. spending nearly seven thousand dollars more per person on healthcare.



