Today
Government spending on health has grown substantially across rich nations since 1990, with particularly steep increases in the United States. The chart shows healthcare spending as a share of gross domestic product (GDP) in four countries.
Japan and the UK saw their share more than double, while it more than tripled in the United States, from 4.5% to 16% of GDP. The rising costs partly reflect demographic change, as older populations typically need more medical care, as well as the COVID-19 pandemic.
Each country organizes healthcare differently. Germany requires everyone to buy insurance from regulated providers, while Japan gives everyone government insurance. The United Kingdom provides healthcare directly through its national health service, while the US combines private insurance with government coverage for the elderly and those on low incomes.
Yesterday
In 2000, Sierra Leone had the highest rate of maternal mortality in the world (alongside South Sudan). Around 1,800 pregnant women died for every 100,000 live births.
Since then, risks for mothers have plummeted. The country has focused on expanding healthcare, increasing the retention of skilled medical staff, and improving access to crucial medicines and treatments. In 2010, it rolled out free healthcare to pregnant women and children.
The results are shown in the chart. Maternal mortality rates have fallen by 74% in two decades.
While these rates are still extremely high — rates in the safest countries are around 100 times lower — Sierra Leone has made massive strides in saving both women and children.
Explore more global data on maternal deaths and declines over time →
March 11
In 1981, the major foreign aid donor countries, also known as the Development Assistance Committee, made a promise at the UN: to aim for at least 0.15% of their national income to assist the world's least developed countries — about 1 dollar out of 700.
Over the years, they repeated this pledge. But by 2022, most countries failed to honor this promise. The chart shows the 20 OECD countries giving the most aid, as a percentage of their national income, to the world’s poorest nations.
Only three countries met the target: Luxembourg, Sweden, and Norway.
Some countries are so wealthy that even a rounding error in their budgets could mean the difference between life and death for people in the poorest parts of the world.
Explore foreign aid given to least-developed countries for all donor countries →
March 10
Patients diagnosed with cancer in 2014 were more likely to survive in Australia than in the UK across multiple types of cancer. This is despite both countries having similar socio-economic conditions, allocating a comparable amount per person to healthcare, and having a similar share of their populations living with cancer.
For colorectal cancer, 71% of Australian patients survived five years after diagnosis, compared to 60% in the UK.
Lung, liver, and pancreatic cancers, which are among the most aggressive, also had lower survival rates in the UK.
The survival gap was most dramatic for pancreatic cancer patients, where Australia's 14% five-year survival rate was nearly double the UK's 8%.
These survival rates only account for diagnosed patients, meaning early detection and prompt treatment access significantly impact outcomes. Differences in healthcare systems, screening coverage, treatment approaches, and other health risk factors may contribute to the gap.
Explore how cancer survival rates compare across other countries →
March 07
South Korea is undergoing one of the world’s most rapid demographic transitions. Fertility rates — the number of children a woman has over her lifetime — have fallen rapidly over the last 50 years, and this is reflected in a rapidly aging population.
One of the clearest signs is the total number of children living in South Korea. In the chart, you can see that the number of children and adolescents under 15 years old is shrinking quickly.
The number of under-15s peaked around a decade later but has now fallen by 60%, from 14 million to less than 6 million.
This is a pattern we see in other countries such as Japan, China, and even Thailand — albeit at different rates.
Explore more data on population trends, births, and fertility rates in our Population and Demography data explorer →
March 06
The chart shows health expenditure per person for G7 countries; the data is adjusted for differences in living costs between countries.
The US spends much more on healthcare per person than any other G7 nation: $12,000 in 2021. This is more than 50% higher than Germany, the next-highest spender.
Japan and Italy spend just $4,700 and $4,400 per person at the lowest end — slightly over one-third of US spending.
Despite spending much more on healthcare, the United States has the lowest life expectancy in the G7. This is due to a combination of higher death rates from smoking, obesity, homicides, opioid overdoses, road accidents, and infant mortality.
Explore health expenditure per person for other countries →
March 05
People might associate democracy with having the right to vote. But meaningful democracy is much more than that.
In 2022, nearly every country granted its citizens the right to vote. 85% of them had an elected parliament and government. In 82%, elections were multi-party, meaning that people had more than one option on the ballot. You can see this in the chart.
But, fewer than two-thirds of these elections were genuinely competitive. In others, voters were systematically pressured or intimidated, the timing of elections was violated, or election fraud influenced the results.
Even more concerning, in only 39% of countries were people able to express their political opinions and associate freely.
As a result, just over one-third of countries recently held elections that met all of these democratic criteria and can be considered truly free and fair.
Find out which countries have all democratic criteria and which don't →
