- the largest percentage of people going without health care due to cost
- the greatest number of low birth weight children per capita
- the greatest consumption of anti-depressants per capita
- the shortest life expectancy at birth (except for Portugal);
- the largest amount of carbon dioxide emissions and water consumption per capita;
- the lowest score on the World Economic Forums Environmental Performance Index and the largest Ecological Footprint per capita (except for Belgium);
- the highest rate of failing to ratify international agreements;
- the lowest amount of spending on international development and humanitarian assistance as a percentage of GDP;
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