The Atlantic

America Fails the Civilization Test

The average American my age is roughly six times more likely to die in the coming year than his counterpart in Switzerland.
Source: Illustration by The Atlantic. Source: Getty.

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The true test of a civilization may be the answer to a basic question: Can it keep its children alive?

For most of recorded history, the answer everywhere was plainly no. Roughly half of all people—tens of billions of us—died before finishing puberty until about the 1700s, when breakthroughs in medicine and hygiene led to tremendous advances in longevity. In Central Europe, for example, the mortality rate for children fell from roughly 50 percent in 1750 to 0.3 percent in 2020. You will not find more unambiguous evidence of human progress.

How’s the U.S. doing on the civilization test? When graded on a curve against its peer nations, it is failing. The U.S. mortality

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