US Infant Mortality Health - Care Lags 3rd World Countries - Spurious Correlations!

Politicians love sweeping slogans and generalizationsdetails, explanation and enlightenment ensues:
(most often, being quite effective): "Canadian HealthAmerica has three times the proportion of teen-age
Care, Even With Queues, Bests US", was a recentmothers, resulting in more premature low-birth-weight
report; infant mortality was cited to be 34% higher inbabies - adolescent pregnancies, drug abuse, drinking
the US. An Oct. 2008 report from the Center forand smoking - are culture factors that cause
Disease Control placed the US at 29th in infantteen-age pregnancies. Of significance is the hard fact
mortality, tied with Slovakia and trailing Hungary andthat in each age category of birth-mothers, the US
Cuba, (A recent Commentary magazine is entitledhas equal or better infant survival statistics.
"We're Number Two?" by Thomas Hazlett). Are suchComparisons made between Cuba (5.8 deaths per
statements - seemingly statistical - believable and1000) and the US (6.9 deaths per 1000 - 19% higher)
true? Probable reaction by the average American iscan be similarly challenged: Author Hazlett quotes:
"How can that be?", but then comes a pervasive"Michael Moore's film 'Sicko' revels in rankings that
thought, "But if that's what the data shows -!"place Cuba ahead of America in the infant-mortality
Americans are proud of our country's achievementsrace." However, a key factor is the criterion of what
in all fields, especially in technology and medicine, allconstitutes infant "death": in Cuba there is a far
aspects of them, and a comparative statement thathigher mortality of the birthing mothers themselves,
faults the US re infant mortality evokes widespreadthus infant death is eliminated from the mortality
interest and is particularly troublesome - everyonetotal. Interestingly, for Cubans living in the US (an
loves infants, so helpless and endearing. Thus, infant"apple to apple" comparison), the rate is only 4.2
mortality behind third-world countries - what are thedeaths per thousand, or infant mortality is 28% lower
apples-to-apples facts? The US, with supposedly topin the US than in Cuba.
medical requirements, with all births taking place inNoteworthy also, is the fact that that in the US the
modern, sanitary hospitals, germ-free, with trainedhealth-care system makes Herculean attempts to
nurses and doctors and medicines and all types ofsave low-birth-weight and premature babies, even
equipment - lagging third-world countries with theiroperations within the womb being routinely
mid-wives, babies born under all conditions, certainlyperformed in the US. All such situations are deemed
not to the standards of the US! How can that bemiscarriages in other cultures and countries, thus not
true?tabulated as infant mortality.
Denigrating America data are seized upon byPolitics and spurious correlations aside (and
health-care-reform advocates - example, comparingnotwithstanding the widespread desire and need for
Canada, with its mandatory public health insurance, tobeneficial Health Care reform), the health care
the US with its primarily private insurance: the US hasprovided by the US medical system sees, indeed, to
6.9 deaths per 1000 births whereas Canada has onlybe the best in the world.
5.3, almost a fourth less. However, in examining the