April 30, 2024
American parents are more than four times as likely as their peers in Estonia to lose a baby during or shortly after birth. It is one of the most devastating human experiences – and a key indicator of a country’s development. After all, if even the most vulnerable babies survive, the healthcare system must be doing something right. By that metric, the US looks more like Chile or Slovakia than the global superpower it is.
And it’s not just babies who are more at risk in the US. A study from the Commonwealth Foundation found that American mothers are twice as likely to die during or shortly after childbirth than their Canadian peers, and more than 10 times as likely as women in New Zealand.
Part of the problem comes down to a shortage of care for expectant mothers. The US has about 15 gynecologists per 1,000 live births, compared to 54 in the UK and 78 in Sweden. That means less attentive care during and after pregnancy, which can lead to early warnings going overlooked.
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In this 'ask ian,' Ian Bremmer takes a look at the issues that drove the "blue wave" in the 2026 US midterms and how Democrats winning control of the House and Senate represents a repudiation of President Donald Trump’s governing record.
Supporters react after media outlets projected Democratic US Senate candidate and Texas State Representative James Talarico's victory in the US midterm elections in Austin, Texas, US, November 3, 2026.
REUTERS/Mike Segar
In the end, the long-predicted “blue wave” turned into a tsunami as the Democrats, harnessing widespread frustrations over high living costs, opposition to the war in Iran, and misgivings about Trump’s deportation policies, swept back to power on Capitol Hill.
Last night’s wins were not only pivotal, but also broke multiple glass ceilings in American politics.
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