The Pew Research Global Attitudes Project recently released data on attitudes about homosexuality in 39 countries. Generally, those living in the Middle East and Africa were the least accepting, while those in the Americas, Europe, and parts of Asia (the Philippines, Australia, and to a lesser extent Japan) were most accepting:
Generally, the more religious a country, the less accepting its citizens are of homosexuality:
The proportion of people who support social acceptance of gays and lesbians ranged from a high of 88% in Spain to a low of 1% in Nigeria:
Attitudes about homosexuality vary widely by age. There is a pretty consistent global pattern of more positive attitudes among younger people, with a few exceptions:
Thus far, legalization of same-sex marriage has been largely confined to the Americas and Europe; New Zealand and South Africa are the two outliers:
The Pew Center points out that of the 15 nations that have fully extended marriage rights to same-sex couples, 8 have done so just since 2010. In the U.S., we’re currently awaiting a Supreme Court’s decision, which should arrive shortly, to know if we’ll be joining the list sooner rather than later.
Thanks to Peter Nardi at Pitzer College for the link!
Gwen Sharp is an associate professor of sociology at Nevada State College. You can follow her on Twitter at @gwensharpnv.
The International Society of Aesthetic Plastic Surgeons has released new data on the incidence of invasive and non-invasive cosmetic procedures. The U.S. leads in sheer numbers of procedures but, accounting for population, we fall into 4th place. South Korea leads for the number of procedures per person, followed by Greece and Italy.
By far the most common kinds of surgical cosmetic procedures are lipoplasty and breast augmentation. Along with fat, breasts seem to be a particular concern: breast lifts and breast reductions for both men and women are also in the top ten. Abdominoplasty, nose jobs, eyelid surgeries, and facelifts are as well.
Likewise, we’ve posted about surgeries that create an epithelial fold, a fold of skin in the eyelid more common in people with White than Asian ethnic backgrounds. This surgery is a trend among Asians and Asian-Americans, as colonization has left us with an association between Whiteness, attractiveness, and power.
Breast augmentation, the second biggest surgical procedure, is most commonly performed in America and Brazil. Buttock implants are also a Brazilian specialty, as is vaginal rejuvenation. Asia is keen on nose jobs: China, Japan and South Korea are among the top five nations for rhinoplasty.
More on where and how many procedures are being performed, but nothing on why, at the ISAPS report.
The first suggests that the belief that hard work pays off remains strong in only a few countries: Pakistan (81%), the U.S. (77%), Tunisia (73%), Brazil (69%), India (67%) and Mexico (65%). The low scores in China, Germany, and Japan are worth noting. This is not to say that people everywhere are not working hard, just that many no longer believe there is a strong connection between their effort and outcome.
The second chart highlights the fact that growing numbers of people are losing faith in free market capitalism. Despite mainstream claims that “there is no alternative,” a high percentage of people in many countries do not believe that the free market system makes people better off.
GlobeScan polled more than 12,000 adults across 23 countries about their attitudes towards economic inequality and, as the chart below reveals, the results were remarkably similar to those highlighted above. In fact, as GlobeScan noted, “In 12 countries over 50% of people said they did not believe that the rich deserved their wealth.
It certainly seems that large numbers of people in many different countries are open to new ways of organizing economic activity.
The Supreme Court has ruled favorably on the legality of the Affordable Care Act. Actually, despite its name, the Act has more to do with extending and attempting to improve private health insurance coverage than it does with improving care or reducing its cost.
Unfortunately for us, the effort to improve our health care system has remained within bounds set by the needs of private health care providers and insurers. As President Obama made clear from the start of his push for health care reform, there would be no consideration of a universal system.
Critics of such a universal system are always quick to argue that only market forces driven by the private pursuit of profit can ensure an efficient health care system. Of course, in determining whether this is true, we need to recognize that efficiency is a complex term and that our health care system, like all systems, produces multiple outcomes. The most obvious ones are private profit as well as the quality and cost of the relevant health care.
In terms of private profit there can be no doubt that our health care system functions well. However, the story is quite different if we evaluate it in terms of quality and cost. The fact that we continue to embrace a private health care system makes clear which measures of efficiency are considered most important and by whom.
The following map shows the countries, colored green, that have adopted a universal health care system.
What’s astonishing is how cleanly the green and grey separate the developed nations from the developing, almost categorically. Nearly the entire developed world is colored, from Europe to the Asian powerhouses to South America’s southern cone to the Anglophone states of Australia, New Zealand, and Canada. The only developed outliers are a few still-troubled Balkan states, the Soviet-style autocracy of Belarus, and the U.S. of A., the richest nation in the world.
The handful of developing countries that provide universal access to health care include oil-rich Saudi Arabia and Oman, Latin success story Costa Rica, Kyrgyzstan, and, famously, Cuba, among a few others. A number of countries have attempted universal health care but failed, such as South Africa, which maintains a notoriously inefficient and troubled public plan to complement the private plans popular among middle- and upper-class citizens…
That brings us to another way that America is a big outlier on health care. The grey countries on this map tend to spend significantly less per capita on health care than do the green countries — except for the U.S., where the government spends way more on health care per person than do most countries with free, universal health care. This is also true of health care costs as a share of national GDP — in other words, how much of a country’s money goes into health care.
The OECD just published a major study on the health care systems of its 34 member nations. It found that:
Health spending accounted for 17.6% of GDP in the United States in 2010, down slightly from 2009 (17.7%) and by far the highest share in the OECD, and a full eight percentage points higher than the OECD average of 9.5%. Following the United States were the Netherlands (at 12.0% of GDP), and France and Germany (both at 11.6% of GDP).
The United States spent 8,233 USD on health per capita in 2010, two-and-a-half times more than the OECD average of 3,268 USD (adjusted for purchasing power parity). Following the United States were Norway and Switzerland which spent over 5,250 USD per capita. Americans spent more than twice as much as relatively rich European countries such as France, Sweden and the United Kingdom.
What does all of this mean in terms of health outcomes? According to the OECD report:
Most OECD countries have enjoyed large gains in life expectancy over the past decades. In the United States, life expectancy at birth increased by almost 9 years between 1960 and 2010, but this is less than the increase of over 15 years in Japan and over 11 years on average in OECD countries. As a result, while life expectancy in the United States used to be 1½ year above the OECD average in 1960, it is now, at 78.7 years in 2010, more than one year below the average of 79.8 years. Japan, Switzerland, Italy and Spain are the OECD countries with the highest life expectancy, exceeding 82 years.
One possible explanation for this lagging performance, highlighted in an earlier OECD report, is that the U.S. ranked 26th in terms of the number of practicing physicians relative to its population, 29th in terms of the number of doctor consultations per capita, 29th in terms of the number of hospital beds per capita, and 29th in terms of the average length of hospital stay. At the same time, the “U.S. health system does do a lot of interventions… it has a lot of expensive diagnostic equipment, which it uses a lot. And it does a lot of elective surgery — the sort of activities where it is not always clear cut about whether a particular intervention is necessary or not.”
Private health care providers and insurers are clear about how they measure health care efficiency. And as long as we rely on them to set the terms of the debate we will continue to suffer the consequences.
How does the U.S. compare to other developed countries on measures of social justice? According to the New York Times, not very well. The visual below compares countries’ poverty rates, poverty prevention measures, income inequality, spending on pre-primary education, and citizen health. The “overall” rating is on the far left and the U.S. ranks 27th out of 31.
Does American prosperity translate into long retirements? Not compared to other developed countries in the world. Flowing Data borrowed OECD numbers on life expectancy and age of retirement to calculate the average number of years in retirement for men and women across many different countries. The portion of each bar with the line is the average number of years working, while the non-lined portion represents years in retirement.
Largely because of life expectancy, women enjoy more years than men in all states except Turkey, but the number of years varies quite tremendously, from an average of zero years for men in Mexico, to an average of 26 years for women in Austria and Italy. The United States is way down on this list, not doing so well relatively after all.
I am trying to re-enter society after several days being sick, so I’m going with something short and simple today. Eden H. sent in this chart, found at Business Insider, that compares hourly minimum wages in a number of European countries to the U.S.:
The European data are available from Eurostat (though note they report minimum wages in terms of Euros per month, not hour, so the data was converted for the chart).
Deeb K. sent in a story from the New York Times about who does unpaid work — that is, the housework, carework, and volunteering that people do without financial compensation. Based on time-use surveys by the Organisation for Economic Co-operation and Development (OECD), this chart shows how many more minutes per day women in various nations spend doing such activities compared to men:
Childcare stuck out as an area with a particularly large gap:
On child care in particular, mothers spend more than twice as much time per day as fathers do: 1 hour 40 minutes for mothers, on average, compared to 42 minutes for fathers…On average, working fathers spend only 10 minutes more per day on child care when they are not working, whereas working mothers spend nearly twice as much time (144 minutes vs. 74) when not working.
The full OECD report breaks down types of unpaid work (this is overall, including data for both men and women):
The study also found that non-working fathers spend less time on childcare than working mothers in almost every country in the study (p. 19). And mothers and fathers do different types of childcare, with dads doing more of what we might think of as the “fun stuff” (p. 20):
Source: Miranda, V. 2011. “Cooking, Caring and Volunteering: Unpaid Work around the World.” OECD Social, Employment and Migration Working Papers, No. 116. OECD Publishing.