Regarding life expectency. Prior to Canada going universal around 1960, their life expectancy rates were just slightly above the USA. The rates are still about the same today. A good conclusion is that the type of system, private vs. public has little to do with overall life expectancy rates.
In my studies, it appears that infant mortality is more an issue of socioeconomics vs. the type of healthcare system. Infant mortality rates: Blacks, 13.7, Puerto Ricans, 7, Whites, 6, Asians, 5 (Infant Mortality Statistics from the 1997 period: Linked Birth/Infant Death Data Set" National Vital Statistics reports 47, no 23 july 1999). Plus, the USA counts complicated births (the ones where drastic lifesaving measures are taken) in their statistics, while other countries would not necessarily count these babies (ones that would have died anyway during birth) in their statistics.
No matter how you look at it, each system has its trade offs. People have varying opinions about it, and these discussions aren't really going to change anyone's minds. I prefer quality of life over life expectency. Here are some statistics to take into consideration:
43.6 million Americans, 15.2%, lack insurance, but about 1/3 qualify for gov't coverage through low-income children or medicaid and haven't signed up for it, 1/3 in households with more than $50/k yr (people who probably could afford it, but choose not to buy it).
- Of those who become uninsured, 74.7% obtain insurance within the year, 2.5% remain insured for more than 3 yrs (Devon Herrick, 'Uninsured by Choice: Update' Brief Analysis no 460, National Center for Policy Analysis, Oct 2003)
- About one in six uninsured persons lives in a family with an income between $50,000 and $75,000, almost one in six earns $75,000. Between 1993 and 1999, the number of uninsured increased by 57% in household earning between $50,000 to $75,000 and by 114% among households earning $75,000+, while households earning less than $50,000 number of uninsured dropped 2%. Less than 25K, 24%, 25-50K, 34%, 50-75K, 16%, 75K+, 16% (Robert J Mills, 'Current Population Reports, Health Insurance Coverage: 1999' 60-211, US Census Bureau, Sep 2000
% of individuals 65+ reporting health as 'good', Aus 70.8, Can 70.2, Denmark 59.7, Ger 47.4, Neth 56.8, Nor 62.3, Swe 55.5, UK 56.5, US 72.6 (OECD Health Data, 2002)
- Ages 45-64: Aus 81.8, Can 84.9, Den 74.2, Ger 58.2, Neth 71.7, Nor 75.6, Swe 71.1, UK 71, USA 85.4
- In Britain, 20% of colon cancer considered curable at diagnosis are incurable by time of treatment (The Observer, "Cash-strapped NHS Hospitals Chase Private Patient Bonanza" Anthony Browne Dec 2001)
- Survey: Long wait to see doctor problem? 14/21/24, (US, UK, Canada) Difficulty seeing specialist due to long wait? 40/75/86, Long wait for nonemergency surgery? 5/38/27, Surgery delayed due to cancellation? 5/10/16 (Blendon, et al 'Inequities in Health Care: A Five-Country Survey' Health Affairs, vol 21, no 3, May/June 2002)
- Breast cancer mortality ratio (% of those who have it that die from it) NZ 46 UK 46 Germ 31 Can 28 US 25 France 35 Aus 28 (ibid)
- Prostate cancer mortality ratio - NZ 30 UK 57 Ger 44 Can 25 US 19 France 49 Aus 35 (bid)
- Britons are more likely to be killed by an infection caught in a hospital than by a car accident ('Watchdog Healthcheck' BBC online news Jan 2001)