Why do Americans die earlier than Europeans? | Samuel Preston and Yana Vierboom

The mortality penalty' that the US pays every year is equivalent to the number of Americans who died of Covid in 2020

A 30-year-old American is three times more likely to die at that age than his or her European peers. In fact, Americans do worse at just about every age. To make matters more grim, the American disadvantage is growing over time.

In 2017, for example, higher American mortality translated into roughly 401,000 excess deaths - deaths that would not have occurred if the US had Europe's lower age-specific death rates. Pre-pandemic, that 401,000 is about 12% of all American deaths. The percentage is even higher below age 85, where one in four Americans die simply because they do not live in Europe.