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Spending less, living longer: What the U.S. can learn from Portugal's innovative health system
2024-12-10, Stat News
https://www.statnews.com/2024/12/10/us-health-care-system-reform-how-portugal...

Portugal has a life expectancy nearly four years longer than the U.S. despite spending 20% of what the U.S. does on health care per person. According to the 2021 Global Security Index, which measures the ability to respond to pandemics, Portugal ranked third out of 195 countries in providing access to affordable health care. The United States ranked 183rd. Portugal has a national health care system, entitling every resident to free or very low-cost health care. It embraces innovative programs such as "social prescribing" that expand the boundaries of what is considered health care, while progressive laws on drug use and treatment have been credited with driving down overdose deaths, even as they rose in the U.S. In the 1990s, Portugal had one of the highest rates of heroin use and fatal overdoses anywhere. In 2001, the country not only decriminalized the use and possession of drugs, but also, in partnership with several non-governmental organizations such as Crescer, created a network of mostly free inpatient and outpatient treatment centers and mobile street teams that seek out drug users to provide medical care, clean needles, and support to enter addiction programs. Two decades later, drug overdose deaths have fallen sharply, from one per day to about 70 to 80 per year. New Jersey, with a smaller population than Portugal, sees 3,000 a year. HIV infection rates have dropped dramatically, too.

Note: Read our Substack to learn about social prescribing and other inspiring remedies to the chronic illness crisis ravaging the world. Explore more positive stories like this on healing social division and healing our bodies.


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