Myth: Poor people and minorities are committing the most crime.
Fact: The rich commit far more crime than the poor.
Summary
The upper class commits far more crime than the lower class. Street
criminals stole $15.3 billion in 1993, but white collar-criminals
embezzled $200 billion. Street criminals murdered 23,271 people
that year, but the decisions of profit-driven corporations murdered
at least 318,368 (through pollution, consumer and worker safety
violations, etc.) Corporations deserve blame for these deaths
because they lobby for and enact policies which drive up these
death rates. Virtually all other rich countries have higher safeguards
and lower death rates.
Arguments
Say the word "criminal," and the image that comes
to the mind of most people is a street criminal
usually
poor, usually black, usually armed with a gun.
In terms of sheer damage, however, the crimes of the poor do not
even begin to compare with the rich. In 1993, the property loss
to theft and robbery amounted to $15.3 billion. (1) But white-collar
embezzlement costs about $200 billion a year! (2)
So conditioned are we to ignore the crimes of the middle and upper
classes that the FBI does not even list this statistic in its
authoritative annual report, Crime in the United States. The very
way we think of crime is racist and classist to its core.
The same is true of murder. Officially, the FBI counted 23,271
murders in 1993. (3) But a truer figure would run at least
318,368, even by the incomplete and conservative count listed
below. Society has simply conditioned us not to think of the deaths
caused by corporations as murder. For example, when a criminal
breaks into someone's home and shoots a family of six, we have
no trouble identifying that as mass murder. But what about the
mine disaster that kills 26 miners -- after the owners had committed
1,250 safety violations in the last 13 years? (4) If the mine
owner callously and knowingly risks human lives in his pursuit
of profits, shouldn't he then be guilty of murder?
Murder is defined as "unlawful killing with malice aforethought."
Clearly, a mine owner who has been lawfully warned that his mines
are unsafe has the requisite foreknowledge of likely death. And
the mine owner who would then choose to ignore those warnings
in his quest for profits clearly displays the requisite malice
towards his fellow human beings. An analogy best describes this
similarity. Suppose someone puts out a $100,000 contract on your
life, causing a gangster to show up at your door one day and kill
you. He may not have known you, or held a personal grudge against
you. He did it for the money -- that is, with cold-blooded malice
aforethought. The same is true of a businessman who desires to
earn an extra $100,000 in profits when scientists have already
warned him that this action will drive up the percentage of worker
or consumer deaths.
Three objections are commonly raised to the above argument. Some
object that a street crime is different because it is terrifying,
direct and real in a way that work is not. But this only begs
the question: which would you rather be killed by, a street criminal
or an unsafe job?
Others object that job deaths are accidental, even negligent,
but not criminal. But our society has a long tradition of finding
people guilty for criminal negligence (such as drunk drivers who
kill, or restaurants that fail to put out the "wet floor"
sign). Even so, it cannot be negligence if scientists,
experts or regulators have repeatedly warned the perpetrator.
Others object that if workers do not want to work at dangerous
jobs, they should simply find another. Unfortunately, the job
market is ruled by the mathematics of displacement. If you quit
a dangerous job to take a safe one, you have removed a safe job
opening from the job market and replaced it with a dangerous one.
Since people must either work or starve, they must take whatever
jobs are available. And with an unemployment rate of 5-6 percent,
job seekers actually find themselves competing for these jobs.
To put it another way, suppose that 30 percent of the jobs in
the economy were dangerous. The solution is not to rotate the
workforce in and out of those jobs. Nor is the solution to let
workers compete for the safer jobs, leaving the bottom 30 percent
of workers stranded in dangerous ones. The only real solution
is to lower the percentage of dangerous jobs to zero. And that
is something only managers and owners can do.
Corporations not only expose workers to danger, but consumers
as well. Scientists have long warned corporations that air and
water pollution kills a certain percentage of the population (mostly
through higher cancer rates). So do cigarettes, cars without safety
features like air-bags, defective silicon breast implants, unsafe
nuclear waste disposal, chemical food additives and pesticides,
inadequate health care, inadequate disaster and emergency services,
poverty, poor education and training
the list goes on and
on.
So how do corporations get away with it? In 1992, corporations
formed 67 percent of all Political Action Committees (the lobbyist
organizations that bribe our Congress) and contributed 79 percent
of all "soft money" to national political parties. (5)
These corporate lobbyists have persuaded Congress to scuttle pro-consumer,
pro-labor and pro-environmental safeguards, even though this results
in a higher percentage of disease and death. Indeed, the statistics
below reveal that the U.S. has some of the highest death rates
and pollution rates in the industrialized world.
This returns us to the definition of murder: "illegal killing
with malice aforethought." If Congress rules that these fatal
practices are not illegal, then corporations may claim that
they are not guilty of murder. But let's revisit the hypothetical
$100,000 contract put out on your life. Suppose that the gangster
accepting the contract first visits his local member of Congress,
and bribes him to make contract murder legal before going ahead
with terminating you. Should society let this gangster off the
hook for murder because of this technical loophole?
The following is a closer look at the statistics of how Americans
are really murdered. This is obviously an incomplete list, but
the tally below easily dwarfs the FBI's official murder count
of 23,271.
THE REAL MURDER STATISTICS
In 1992, nearly 70,000 Americans were killed from job-related accidents or work-related illness and desease. Another 13.2 million suffered non-fatal injuries or illness, at a cost of $170 billion to the economy. (6) Although some accidents are obviously inevitable "acts of God," a large portion are surely preventable. When industry pushes the pace of production to the limit, cuts safety corners, lobbies Congress for budget cuts in OSHA (Occupational Safety and Health Administration) and urges extensive safety deregulation, then a certain percentage of these deaths are attributable to profit-driven managers and owners. Throughout this analysis, we will be conservative, counting only 10 to 25 percent of the total deaths as industry-responsible. In this case, that amounts to 17,500 work-related deaths.
Pollution is another way that industry kills. Since 70 percent
of all Americans consider themselves pro-environmentalist, environmental
legislation tends to pass by wide margins in Congress. But corporations
know how to resist these laws. For example, the original Clean
Air Act (1970) called for the Environmental Protection Agency
to regulate hundreds of known air pollutants. But by 1990, after
twenty years of corporate stalling, dodging and fighting in the
courts, the EPA had managed to issue regulatory standards for
only seven pollutants. (7) Furthermore, corporations are
quite successful in lobbying exemptions into environmental laws.
In 1990, the Clean Air Act was revised by Congress; environmentalists
wanted a clause to reduce industrial cancer risks to one-in-a-million.
"The Senate bill still has the requirement," said environmental
lobbyist Richard Ayres at the time. "But there are forty
pages of extensions and exceptions and qualifications and loopholes
that largely render the health standard a nullity." (8)
And when the Republicans took over Congress in 1994, Newt Gingrich
invited corporate lobbyists themselves to write the texts of environmental
legislation.
But pollution kills. The National Cancer Institute has conducted
a massive, county-by-county study of cancer in the U.S., in an
effort to locate the nation's "cancer hotspots". Dr.
Glenn Paulson summed up the results this way: "If you know
where the chemical industry is, you know where the cancer hotspots
are." (9)
Another study has linked high local cancer rates to hazardous
waste sites. A team of researchers identified 593 such hazardous
waste sites from the Environmental Protection Agency's National
Priority List for cleanup under the Superfund. They found that
hazardous waste site counties had significantly higher death rates
for six types of cancers for white men, and another six types
of cancers for white women (including breast cancer), than non-hazardous
waste site counties. (10)
The same correlation exists between breast cancer rates and the
nuclear industry. In 1990, the National Cancer Institute conducted
a study of cancer mortality rates near nuclear facilities. Using
data from that study, Drs. Ernest Sternglass, Jay Gould and Joseph
Mangano found that 18 percent of the U.S. female population lives
in or adjacent to counties that have nuclear reactors. This 18
percent of the population accounts for 55 percent of all breast
cancer deaths. Nationally, breast cancer declined 4 percent over
the period of the NCI's study, but for these women, the breast
cancer rate rose 9 percent. Prior to start up of nuclear operations
in the 107 "nuclear counties" of the NCI's analysis,
cancer mortality in these mainly rural counties was 1% below the
rate experienced by the U.S. as a whole. After start-up, cancer
mortality in these counties increased to 2% above the national
rate.
According to a sophisticated study by the Natural Resources Defense
Council, some 64,000 people may die prematurely every year from
particulate air pollution. It reports that tens of thousands of
these deaths could be averted if the Environmental Protection
Agency set stringent health standards for fine-particulate pollution.
(11)
Many Americans are unaware that the U.S.
is the most polluting society in the First World. In some areas,
like the emission of greenhouse gases, it even outdoes the environmentally
ravaged former communist countries. Click here
to see the full statistics.
Unsafe consumer products are another way that industry kills.
Each year there are about 21,700 consumer product deaths and 28.6
million injuries, at a total cost of $200 billion. Yet corporate
lobbyists effectively blocked the creation of a Consumer Protection
Agency under President Carter, and have continually pushed for
safety deregulation and defunding of the Consumer Product Safety
Commission, which inspects 15,000 products a year. (12)
Perhaps the biggest consumer killer is cigarettes. The American
Cancer Society reports that "smoking is related to about
419,000 U.S. deaths each year." (13) Some might argue that
this is a personal choice, more appropriately labeled "slow
suicide" than "murder." However, the tobacco industry
spikes its cigarettes with added nicotine to make them more addictive.
And it aggressively advertises to teenagers, using cartoon characters
like "Joe Camel," or enviable adult images like the
"Marlboro Man." Teenagers are targeted to replace the
older customers the industry kills off. According to a 1994 Gallup
poll, 75 percent of all smokers admit they are addicted, and 81
percent say they would not start smoking again if they had to
do it over. This no longer sounds like a personal choice.
Furthermore, second-hand smoke also kills about 3,000 nonsmokers
a year. (14) The cancer risk of smoking cigarettes has been known
for decades, but it wasn't until 1992 that the Environmental Protection
Agency classified Environmental Tobacco Smoke (or ETS) as a Class-A
carcinogen. The Centers for Disease Control report that 88 percent
of all Americans have cotinine -- a by-product of ETS -- in their
blood. Their survey shows that 43 percent of U.S. children (aged
2 months through 11 years) live in a home with at least one smoker,
and that 37 percent of adult non-tobacco users live in a home
with a smoker or are exposed to ETS at work. (15)
One example especially clarifies how Americans are really murdered
each year: unnecessary surgery. Health care experts have long
known that many doctors have a financial incentive to recommend
surgery; in 1975, this resulted in 3.2 million unnecessary operations.
Obviously, surgery is a radical procedure, and a certain percentage
of these patients die as a matter of course. Dr. Sidney Wolf estimates
that about 16,000 people died unnecessarily that year, at a cost
of $5 billion. (16) (Even the most conservative estimates for
that year were 12,000 deaths.) Since 1975, things have only gotten
worse. One notorious example is the C-section. In 1970, Caesarean
births comprised 5.5 percent of all births; by 1988, they had
soared to 24.7 percent. The optimal rate is 12 percent, according
to a scale devised by Dr. Edward Quillan, dean of the School of
Medicine at the University of California. (17)
Unnecessary prescriptions are also an excellent way for health
care providers to turn a profit. Dr. George Silver, a professor
at the Yale University School of Medicine, estimates that 22 percent
of the nation's 6 billion doses of antibiotic medicines are unnecessary,
resulting in 2,000 to 10,000 deaths a year. Silver's estimates
are extremely conservative; other authorities put the deaths somewhere
between 30,000 and 160,000. (18)
Poverty also kills. The American Journal of Epidemiology
reports that "a vast body of evidence has shown consistently
that those in the lower classes have higher mortality, morbidity,
and disability rates." (19) This is because the poor suffer
more polluted, stressful and unsafe work and living environments;
they have less preventative health care, less post-health care,
less education about safety and health issues, less nutritious
meals, less creature comforts like heating or air-conditioning,
less recreational opportunities, less tools to ease their standard
of living, less isolation from sick and infected people, and less
contact with people who could direct them to solutions. Although
affluent blacks enjoy the same good health as affluent whites,
there are more blacks in poverty than whites (33.1 percent compared
to 12.2 percent). (20) And for this reason, the average black
life span is about seven years shorter than the average white
life span (a statistic that doesn't change even when factoring
in the murder rate). (21)
Some might object that America's poor are significantly richer
than the poor of other countries. However, researchers have discovered
that it is not only absolute poverty that kills, but relative
poverty as well! Drs. Bruce Kennedy, Ichiro Kawachi and Deborah
Prothrow-Stith conducted a study at the Harvard School of Public
Health that found that the gap between the rich and the poor matters.
"We found that mortality was strongly related to inequality
in the distribution of income, but not to the median income or
per capita income of a state," says Kennedy. (22) States
with the most income inequality had higher death rates of heart
disease, cancer, homicide, tuberculosis, pneumonia and high blood
pressure. The Harvard team concluded that if U.S. inequality were
reduced from 30% to 25% on the Robin Hood index (about where it
is in England), deaths from coronary heart disease would be reduced
by 25%. (23) In 1993, the U.S. suffered 489,970 deaths from coronary
heart disease; a quarter of that would represent 122,493 lives
saved. (24)
A separate study by the California Department of Health Services
made the same findings. They found high levels of income inequality
and high death rates in Louisiana, Mississippi, Alabama, Kentucky
and New York. Conversely, they found comparatively low levels
of income inequality and low death rates in New Hampshire, Utah,
Wisconsin, Iowa and Hawaii. By both measures, New Jersey and Connecticut
were in the middle. Interestingly, the principal researcher in
the California group, Dr. George A. Kaplan, says: "The evidence
in these two studies suggests that the increased death rates in
those states are not due simply to their having more poor people.
Income inequality seems to be increasing mortality rates among
nonpoor people as well, and we are investigating that possibility."
(25)
That said, we can now show that the U.S. has the highest level
of income inequality in the industrialized world:
Inequality of income, 1991 (100 = most inequality, 0 = least inequality) (26) United States 99 Canada 83 Netherlands 82 Switzerland 79 United Kingdom 78 Germany 66 Norway 60 Sweden 60
The U.S. also has the greatest poverty rate in the industrialized world:
Poverty level, 1991 (27) United States 17.1% Canada 12.6 United Kingdom 9.7 Switzerland 8.5 Germany 5.6 Sweden 5.3 Norway 5.2 Children under the poverty level, 1991 (28) United States 22.4% Canada 15.5 United Kingdom 9.3 Switzerland 7.8 Sweden 5.0 Germany 4.9 Norway 4.8
Not surprisingly, we also have some of the very worst death rates
in the industrialized world. Let's start with infant mortality:
Column 1 - Infant Mortality: Number of deaths of infants
under 1 year per 1,000 live births.
Column 2 - Feto-infant Mortality: Number of late fetal
deaths plus infant deaths under 1 year per 1,000 live births plus
late fetal deaths.
Column 3 - Postneonatal Mortality: Number of postneonatal
deaths per 1,000 live births.
Mortality rates (per 1,000), 1990 (29) Infant Feto-infant Postneonatal Japan 4.60 8.38 1.99 Finland 5.64 8.76 1.91 Sweden 5.96 9.50 2.46 Hong Kong 6.13 10.23 2.33 Singapore 6.67 10.65 2.01 Canada 6.82 10.72 2.21 Switzerland 6.83 11.42 3.05 West Germany 6.98 10.37 3.44 Norway 7.02 11.55 3.10 Netherlands 7.06 12.74 2.42 France 7.33 13.66 3.79 East Germany 7.33 12.73 2.84 Denmark 7.39 12.03 2.84 Northern Ireland 7.47 11.45 3.48 Scotland 7.73 12.92 3.35 Austria 7.84 11.39 3.41 England and Wales 7.88 12.44 3.32 Belgium 7.94 15.58 4.05 Spain 8.07 13.30 2.95 Australia 8.17 12.06 3.31 Ireland 8.20 14.25 3.57 New Zealand 8.31 12.37 4.24 Italy 8.53 13.96 2.08 United States 9.22 13.21 3.38 Greece 9.32 16.39 2.81 Israel 9.84 13.96 3.46 Cuba 10.74 22.67 3.91
According to a study by the federal Centers for Disease Control,
infant mortality rates were 60 percent higher for women living
below the poverty line compared with women living above the poverty
line. The study found that poverty was "as large" a
factor as a pregnant mother's cigarette smoking or inadequate
medical care. (30) In 1992, there were 34,628 cases of infant
mortality. (31) If the U.S. were to reduce this rate from 9.22
to 7 per 100,000, then it could save the lives of 5,600 infants
a year.
Another study by the CDC found that black women died from complications
of pregnancy, childbirth and puerperium three and a half times
more often than whites (18.1 to 5.0 per 1,000, age-adjusted).
(32) If the black rate were lowered to the white rate, the lives
of 17,600 women a year would be saved. (33)
Death rate of 1-to-4 year olds (per community of 200,000 per year) (34) United States 101.5 Japan 92.2 Norway 90.2 Denmark 85.1 France 84.9 United Kingdom 82.2 Canada 82.1 Netherlands 80.3 Germany 77.6 Switzerland 72.5 Sweden 64.7 Finland 53.3 Death rate of 15-to-24 year olds (per community of 200,000 per year) (35) United States 203 Switzerland 175 Canada 161 France 156 Finland 154 Norway 128 Germany 122 Denmark 120 United Kingdom 114 Sweden 109 Japan 96 Netherlands 90 Note: the murder rate for the above age group is 48.8 per 200,000. Even subtracting this entirely still puts the U.S. near the top of the list. Premature Death (years of life lost before the age of 64 per 100 people) (36) United States 5.8 years Denmark 4.9 Finland 4.8 Canada 4.5 Germany 4.5 United Kingdom 4.4 Norway 4.3 Switzerland 4.1 Netherlands 4.0 Sweden 3.8 Japan 3.3 Life Expectancy (years) (37) Men Women Japan 76.2 82.5 France 72.9 81.3 Switzerland 74.1 81.3 Netherlands 73.7 80.5 Sweden 74.2 80.4 Canada 73.4 80.3 Norway 73.1 79.7 Germany 72.6 79.2 Finland 70.7 78.8 United States 71.6 78.6 United Kingdom 72.7 78.2 Denmark 72.2 77.9
And this is to mention nothing of the 40,015 who died from AIDS
in 1993. (38) True, AIDS is incurable at the moment, but that
could very well be the result of opposition by Congressional conservatives
against increasing AIDS research. Furthermore, the AIDS rate can
be significantly reduced by education about prevention. However,
conservatives have opposed funding such education as well, with
the result that large portions of America remain ignorant about
the basics of this modern plague.
THE GRAND TOTAL
The above list of how Americans are really murdered is far
from complete, but it gives us a start in comparing the official
murder rate to the real one. Once again, this is how the FBI counted
murders for 1993:
FBI Murder Count, 1993 (FBI) Guns 16,200 Cutting or stabbing 2,960 Blunt objects 1,020 Personal 1,160 Strangulations, Asphyxiations 442 Fire 209 All others 1,280 --------------------------- Total 23,271
Now let's calculate the real rate. To be certain, not even the most aggressive programs can completely eliminate job accidents, pollution and infant mortality. Therefore, we can list only a percentage of the total fatalities, on the grounds that these abnormally high rates can be reduced with properly funded programs. For most cases I will use only 25 percent of the total fatality rate. Keep in mind that the total fatality rates used here are extremely conservative ones, and the list itself is very incomplete.
Partial and conservative list of actual murder counts (early 1990's): Cause Deaths Portion of total ------------------------------------------------------- Job-related deaths 17,500 (25 percent of total) Particulate air pollution 20,000 (of 64,000) Consumer products 5,425 (25 percent of total) Cigarettes 104,750 (25 percent of total) Second-hand smoke 3,000 (100 percent of total) Unnecessary surgery 16,000 (100 percent of total) Unnecessary prescriptions 2,000 (lowest estimate) Infant Mortality 5,600 (Rate reduction from 9.22 to 7 percent) Coronary Heart Disease 122,493 (25 percent of total) Black pregnancy deaths 17,600 (Rate reduction from 18.1 to 5.0 per 1,000.) AIDS 4,000 (10 percent of total) --------------------------------------------------------- Total 318,368
The real murder rate is at least 13 times the official one. It
should be noted that this list does not count all the general
deaths attributable to poverty, which would add hundreds of thousands
more to the final count.
In closing, the middle and upper class are guilty of hypocrisy
when they single out lower class crime for especial criticism.
The tools that the upper class uses -- lobbyists, deregulation,
safety shortcuts, heightened production quotas -- do not seem
as terrifying as the tools that a stereotypical criminal uses
-- guns, knives, fists, etc. But the results are just as deadly,
and far more widespread.
Return to Overview
Endnotes:
1. U.S. Federal Bureau of Investigation, Population-at-Risk
Rates and Selected Crime Indicators, 1993. Does not include
figures for vandalism; white collar equivalent of vandalism would
be pollution.
2. Steve Albrecht, "Fraud in Governmental Entities: The Perpetrators
and the Types of Fraud," Government Finance Review
7 (6), 1991, pp. 27-30.
3. U.S. Federal Bureau of Investigations, Crime in the United
States, 1993.
4. "Mine is Closed 26 Deaths Late," Washington Star,
March 14, 1976, p. A1.
5. Center for Responsive Politics. Josh Goldstein, Soft Money,
Real Dollars: Soft Money in the 1992 Elections. Larry Makinson,
The Price of Admission: Campaign Spending in the 1992 Elections.
6.Reuters News, "Study: Thousands Die of Job Injuries, Diseases," July 27, 1997.
The article cites Paul Leigh et al., of San Jose State University and
Stanford University Medical Center, who published
these results in Archives of Internal Medicine.
7. William Greider, "Whitewash: Is Congress Conning Us on
Clean Air?" Rolling Stone (June 14, 1990), p. 40.
8. Ibid.
9. Quoted in Stuart Auerbach's "N.J.'s Chemical Belt
Takes Its Toll: $4 Billion Industry Tied to Nation's Highest Cancer
Death Rate," Washington Post, February 8, 1976, p.
A1.
10. Jack Griffith, R.C. Duncan, W.B. Riggan, A.C. Pellom, "Cancer
Mortality in U.S. Counties with Hazardous Waste Sites and Ground
Water Pollution," Archives of Environmental Health,
Vol. 44, No. 2, 69-74, Mar-Apr 1989. The cancers were of the lung,
bladder, esophagus, stomach, large intestine and rectum for white
males and of the lung, breast, bladder, stomach, large intestine,
and rectum for white females.
11. Natural Resources Defense Council, 1995.
12. Data from Consumer Product Safety Commission, as reported
by The People Helper, "Cutbacks to CPSC Threaten Us All,"
Times-Picayune (New Orleans), April 28, 1995.
13. American Cancer Society, Cancer Prevention Study II.
14. Ibid.
15. U.S. Centers for Disease Control, National Center for Health
Statistics, Third National Health and Nutrition Examination
Survey (NHANES III) from 1988-1991.
16. Testimony before the House Commerce Oversight and Investigations
Subcommittee by Dr. Sidney Wolfe, of Ralph Nader's Public Interest
Research Group, as reported in the Washington Post, July
16, 1975, p. A3. See also the supporting article in Newsweek,
March 29, 1976, p. 67.
17. Public Citizen's Health Research Group (founded by Ralph Nader).
18. George Silver, "The Medical Insurance Disease,"
The Nation, 222, no. 12 (March 27, 1976), p. 369. For greater
estimates, see Boyce Rensberger, "Thousands a Year Killed
by Faulty Prescriptions," New York Times, January 28, 1976,
pp. 1,17.
19. S. Leonard Syme and Lisa Berkman, "Social Class, Susceptibility
and Sickness," American Journal of Epidemiology 104,
no. 1 (July 1976), pp. 1,4.
20. U.S. Bureau of the Census, Current Population Reports,
P60-188.
21. U.S. National Center for Health Statistics, Vital Statistics
of the United States, annual.
22. "Income Inequality, Higher Mortality Rates Linked,"
New York Times, April 18, 1996.
23. Bruce P. Kennedy and others, "Income distribution and
mortality: cross sectional ecological study of the Robin Hood
index in the United States," British Medical Journal,
Vol. 312 (April 20, 1996), pgs. 1004-1007.)
24. American Heart Association, "Heart and Stroke Facts,
1996 Statistical Supplement.")
25. "Income Inequality, Higher Mortality Rates Linked,"
New York Times, April 18, 1996, citing study later published
in George A. Kaplan and others, "Inequality in income and
mortality in the United States: analysis of mortality and potential
pathways," British Medical Journal, Vol. 312 (April
20, 1996), pgs. 999-1003.
26. Where We Stand, by Michael Wolff, Peter Rutten, Albert
Bayers III, eds., and the World Rank Research Team (New York:
Bantam Books, 1992), p. 23.
27. Ibid. Poverty figures are calculated as those making
less than half the national median income. Although different
nations have different medians, the medians of the richest nations
are comparable, and America's higher median is hardly enough to
overcome the enormity of these poverty figures.
28. Ibid.
29. SOURCES: World Health Organization: World Health Statistics
Annuals. Vols. 1986-1991. Geneva. United Nations: Demographic
Yearbook 1986-1991. New York. Centers for Disease Control and
Prevention, National Center for Health Statistics: Vital Statistics
of the United States, 1985, Vol. II, Mortality, Part A. DHHS Pub.
No. (PHS) 89-1101. Public Health Service. Washington. U.S. Government
Printing Office, 1990; Vital Statistics of the United States,
1990, Vol. II, Mortality, Part A. DHHS Pub. No. (PHS) 93-1101.
Public Health Service. Washington. U.S. Government Printing Office,
1993.
NOTES: Rankings are from lowest to highest infant mortality rates
based on the latest data available for countries or geographic
areas with at least 1 million population and with "complete"
counts of live births and infant deaths as indicated in the United
Nations Demographic Yearbook, 1991. Some of the international
variation in infant mortality rates (IMR) is due to differences
among countries in distinguishing between fetal and infant deaths.
The feto infant mortality rate (FIMR) is an alternative measure
of pregnancy outcome that substantially reduces the effect of
international differences in distinguishing between fetal and
infant deaths. The United States ranks 24th on the IMR and 19th
on the FIMR and 20th on the postneonatal mortality rate.
30. Survey of 21,583 mothers by Dr. John Kiley, chief of the Infant
and Child Health Studies Branch of the National Center for Health
Statistics, U.S. Centers for Disease Control.
31. U.S. National Center for Health Statistics, Vital Statistics
of the United States, 1992.
32. U.S. Centers for Disease Control and Prevention, National
Center for Health Statistics: Vital Statistics of the United States,
Vol. II, Mortality, Part A, for data years 1950-91. Public Health
Service. Washington. U.S. Government Printing Office; Vital Statistics
of the United States, Vol. I, Natality, for data years 1950-91.
Public Health Service. Washington. U.S. Government Printing Office;
Data computed by the Division of Analysis from data compiled by
the Division of Vital Statistics.
33. Based on 1,344,000 black pregnancies reported for 1991 by
the U.S. National Center for Health Statistics, Monthly Vital
Statistics Report, vol. 43, no. 12.
34. Where We Stand, p. 115.
35. Ibid., p. 116.
36. Ibid., p. 113.
37. Ibid., p. 112.
38. U.S. Centers for Disease Control, Surveillance Report,
1993.