Saum Sutaria, M.D.

So the generators of economic activity, and economists will get into this discussion of, well, one of the reasons the US can afford to spend more on healthcare is we tend to work longer than much of the rest of the developed world. 65, people talk about working into their low 70s and others.

So the generators of economic activity, and economists will get into this discussion of, well, one of the reasons the US can afford to spend more on healthcare is we tend to work longer than much of the rest of the developed world. 65, people talk about working into their low 70s and others.

So we generate more economic wealth to subsidize this healthcare system and other things that we may want to subsidize in the country. But that drop from two to one is significant. And that's happening at the same time that we continue to have this aging. So while it's interesting to think 20 years out, I actually do think for the next 10 years, we got a problem.

So we generate more economic wealth to subsidize this healthcare system and other things that we may want to subsidize in the country. But that drop from two to one is significant. And that's happening at the same time that we continue to have this aging. So while it's interesting to think 20 years out, I actually do think for the next 10 years, we got a problem.

We've got expenditures that we know will grow because of the continued aging. The demographics are clear and we have a reduction in The only way to fill that is, of course, to have the US economy still be an attractive place for immigrants to come and work of all types at all levels of work in order to fill that demographic hole. And we've got to get our head around that problem.

We've got expenditures that we know will grow because of the continued aging. The demographics are clear and we have a reduction in The only way to fill that is, of course, to have the US economy still be an attractive place for immigrants to come and work of all types at all levels of work in order to fill that demographic hole. And we've got to get our head around that problem.

I mean, who would have thought immigration is related to healthcare? We talked about this election. People are talking more about immigration than healthcare. Actually, it's relevant to healthcare because healthcare is such a large part of the economy. Everything comes back to it in the end when you think about it at a macroeconomic level.

I mean, who would have thought immigration is related to healthcare? We talked about this election. People are talking more about immigration than healthcare. Actually, it's relevant to healthcare because healthcare is such a large part of the economy. Everything comes back to it in the end when you think about it at a macroeconomic level.

Let's talk about life expectancy. And I think the most important context to consider here is that whether you look over the last 50 to 75 years, we've used 1950 as a marker, or 100 years, life expectancy has improved remarkably. A lot of that has to do with infectious disease and other things, and that's fine.

Let's talk about life expectancy. And I think the most important context to consider here is that whether you look over the last 50 to 75 years, we've used 1950 as a marker, or 100 years, life expectancy has improved remarkably. A lot of that has to do with infectious disease and other things, and that's fine.

So when we say our life expectancies in the US are – I think what we're really asking is why are we three years- Behind everybody else. Behind everybody else.

So when we say our life expectancies in the US are – I think what we're really asking is why are we three years- Behind everybody else. Behind everybody else.

And I think you make a really good point, which we've talked about before, which is somewhere between 60 and 75, the equation slip. We go from dead last to first because the medical system we've created that optimizes for access – quality, sophistication, technology, the best drugs, flips. And it's actually quite effective at creating longevity from that standpoint.

And I think you make a really good point, which we've talked about before, which is somewhere between 60 and 75, the equation slip. We go from dead last to first because the medical system we've created that optimizes for access – quality, sophistication, technology, the best drugs, flips. And it's actually quite effective at creating longevity from that standpoint.

We can all discuss whether or not, to use your language, the lifespan is improving with or without the healthspan, but nevertheless, the lifespan is the best in the developed world. So what's going on in the younger population? I think you hit on some of it. Look, infant mortality is two to three times the rate that we see in the rest of the world. Why? We have a higher rate of teen pregnancies.

We can all discuss whether or not, to use your language, the lifespan is improving with or without the healthspan, but nevertheless, the lifespan is the best in the developed world. So what's going on in the younger population? I think you hit on some of it. Look, infant mortality is two to three times the rate that we see in the rest of the world. Why? We have a higher rate of teen pregnancies.

There's a higher rate of sexually transmitted diseases. You've got drug and substance abuse issues that play into that. And some of it is just, again, going back to this notion of access for care in the prenatal window. And that's really important. Two, which you didn't really touch on, I would describe as, broadly speaking, injuries and homicides. I mean, the rate of those in the U.S.

There's a higher rate of sexually transmitted diseases. You've got drug and substance abuse issues that play into that. And some of it is just, again, going back to this notion of access for care in the prenatal window. And that's really important. Two, which you didn't really touch on, I would describe as, broadly speaking, injuries and homicides. I mean, the rate of those in the U.S.

is significantly higher. I mean, homicides seven times the rest of the developed world. I mean, some of that goes back to gun violence. of course, that's unique in the United States versus others. If you look at this over a long period of time, by the way, some of the mortality in the younger generations had to do with wars. But put that aside is not something as relevant today.

is significantly higher. I mean, homicides seven times the rest of the developed world. I mean, some of that goes back to gun violence. of course, that's unique in the United States versus others. If you look at this over a long period of time, by the way, some of the mortality in the younger generations had to do with wars. But put that aside is not something as relevant today.