The tables are reversed when comparing the diabetes death risk for men in their 70s, a risk highly related to lifestyle choices and obesity. Fifteen European countries (including Greece, the United Kingdom, Norway, Germany and France) have lower risks than Iowa, the U.S. state with the lowest risk. Louisiana, the U.S. state with the highest risk, has a risk that is 10 times greater than Iceland, the lowest risk European country for diabetes.

Similar risk comparisons are possible for women. The risks for breast cancer are lower in the U.S. For 50-, 60- or 70-year-olds, four to eight European countries (including Denmark, Netherlands and the United Kingdom) have a higher risk of dying of breast cancer than either New Jersey or Louisiana, the two U.S. states that tie with the highest risk.

But for lung cancer, the results are opposite. For 80-year-old women, 14 European countries have lower lung cancer death risks than Utah, the U.S. state with the lowest risk, which also has a very low smoking rate. In fact, 42 U.S. states have a higher lung cancer risk than Iceland, the European country with the highest risk. Nevada, the state with the highest lung cancer risk for 80-year-old women is eight times higher than for Spain, the European country with the lowest risk.

Where is it better to live to reach certain milestones? For men and women under 65, the risks of dying before 65 are higher in the U.S. But for men older than 56 and woman older than 75 who want to make it to 85, the U.S. is the better location.

"When it comes to health care, there are no easy choices. We hope that adding data to the debate will help make the final policies better," Fischbeck said.

Source: Carnegie Mellon University

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