When it comes to tackling chronic disease, the United States is lagging behind its peers. A new study published in The Lancet reveals that among 25 high-income Western countries, the US has shown the slowest progress in reducing deaths from noncommunicable diseases such as cancer, heart disease, stroke, and diabetes.

The research, led by Imperial College London, analyzed mortality data from 185 countries between 2010 and 2019. While most nations reported overall declines in the probability of dying before age 80 from chronic disease, the US not only saw smaller reductions compared with other wealthy countries but also a troubling rise in deaths among younger adults aged 20 to 45.

The data show that between 2010 and 2019, deaths from chronic disease decreased in most US age groups but increased among young adults, a rare and alarming trend for a high-income country. Researchers describe this as “a rare phenomenon in high-income Western countries,” suggesting that the problem is systemic, not just demographic.

Majid Ezzati, the study’s senior author and professor of global health at Imperial, explained that while older Americans benefited from improved treatments and detection for heart disease and cancer, younger generations faced new and worsening risks including obesity, alcohol use disorders, and neuropsychiatric conditions like dementia.

The global picture provides a stark contrast. Roughly 80 percent of countries saw reductions in chronic disease mortality during the past decade, covering more than 70 percent of the world’s population. Denmark led the high-income group with the steepest decline, followed closely by Norway and Finland. Germany performed poorly as well, showing only slightly better results than the US.

While all high-income countries experienced a slowdown in the rate of decline compared to earlier decades, the United States stood out for its stagnation in working-age adults and actual increases in younger adults. Other countries managed to balance slower declines in older age groups with sharper improvements in working-age populations, but the US did not.

Why Is the US Falling Behind in Mortality?

The study did not dive into root causes, but experts point to a combination of health system and social factors:

Healthcare access and disparities: Millions of Americans lack consistent primary care, delaying diagnosis and treatment of chronic conditions. Without a physician close to home, routine screenings often fall through the cracks.

Social determinants of health: Income inequality, food insecurity, and limited access to healthy lifestyles all disproportionately affect younger and working-age adults.

Rise in neuropsychiatric conditions: While cancer and heart disease deaths declined, increases in dementia, alcohol use disorders, and mental health-related conditions offset gains.

Obesity and lifestyle factors: Rising rates of obesity, poor diets, and sedentary behavior have made chronic diseases harder to control, particularly among younger people.

Ezzati emphasized that underinvestment in public health is a common denominator. “In both the US and Germany, there are segments of the population in which there has been less investment in public health, and these disparities in investment can lead to broad barriers to accessing care,” he said.

Is This A Global Slowdown, Not Just an American Problem?

The US may be the slowest among wealthy nations, but it is not alone in struggling. Nearly two-thirds of all countries saw slower progress in reducing chronic disease mortality during 2010–2019 compared with the previous decade.

In northern Europe, for example, Denmark and Finland reported slower improvements among older adults, but these were offset by faster progress among working-age adults. That balance prevented them from stagnating as the US did.

Globally, the slowdown raises concerns about whether countries will meet the UN Sustainable Development Goal of reducing premature mortality from noncommunicable diseases by one-third by 2030.

So what sets top performers like Denmark apart? Researchers credit strong investment in preventive health, early detection, and broad access to primary care. Comprehensive strategies for cardiovascular disease prevention, aggressive anti-smoking campaigns, and early cancer screening programs have made a measurable impact.

By contrast, the US has struggled to implement nationwide preventive programs. Even when effective interventions exist — like lifestyle counseling, preventive screenings, and access to affordable medications, barriers in insurance coverage, geography, and affordability keep many Americans from benefiting.

Perhaps the most sobering aspect of the study is that progress is slowing not just in the US but worldwide. Improvements in diagnosis and treatment that once drove sharp declines in chronic disease deaths may be reaching their limits. Unless new strategies are adopted — especially those that reach disadvantaged populations — gains could stall entirely or even reverse.

For the US, where chronic diseases already account for 6 in 10 deaths, the message is clear: without significant investment in prevention and equitable healthcare access, the gap with peer nations will only widen.

Ezzati summed up the findings with a blunt warning, “The risk of dying from chronic diseases in most countries in the world is coming down. But we were doing better before.”

Jesse Eisenberg has opened up about his intention to donate his kidney to a stranger. He deemed the decision as a “no-brainer.” Known for films like Now You See Me, the 42-year-old actor shared the news on the Today show on October 30th, as he explained that he got the "blood donation bug" after participating in a blood drive over the summer.

Eisenberg stated he is scheduled for an altruistic donation, which is also known as a non-directed living donation, in mid-December. This means he is donating his organ to someone he does not know, with the recipient being selected based on medical compatibility.

Eisenberg stands by his decision, emphasizing, “It's essentially risk-free and so needed." He believes more people will realize "it's a no-brainer, if you have the time and the inclination.”

His reason for saying that donating his kidney is a ‘risk free’ decision is that, after this procedure, through the National Kidney Foundation's family voucher program, his family would be prioritized should if any of them ever need a living kidney donation in the future.

Donating a kidney can help improve the quality of life and survival for the receiver, however there are a few health implications one should keep in mind.

What Happens When You Do A Living Kidney Donation?

The American Kidney Fund explains that a living donation is a kidney transplant where a person who is alive and healthy gives one of their two healthy kidneys to a person with serious kidney disease. Kidneys that come from a living person usually work better and last longer than those that come from someone who has died. There are 2 types of kidney donations:

Non-directed Donation (Altruistic Donation)

This is when the person donating the kidney does not pick the recipient. Instead, they donate the kidney to a stranger. This is often done through a program that helps swap kidneys between people (a paired kidney exchange). Jesse Eisenberg is opting for this method.

Directed Donation

This is when the person donating the kidney chooses the specific person who will receive it, for example, a family member or a close friend.

Who Can Donate A Kidney, Are There Any Benefits?

To be able to donate a kidney while you are alive, you must meet a few requirements:

• You must be 18 years old or older.
• You must have two healthy, working kidneys.
• You must be healthy enough to handle the surgery and recovery.

Most people who donate a kidney can get back to their normal life in about two to four weeks. However, a team of doctors and nurses carefully checks the donor to make sure they understand all the possible physical, emotional, and financial risks.

• You help the person who receives your kidney to live longer and be healthier, and you may even save their life.
• The detailed check-up you go through helps you learn more about your own health.

What Are The Health Risks of Kidney Donation?

Like any surgery, kidney donation also carries physical risks. These can include common issues like pain at the surgical site, feeling weak and tired, or bloating. More serious, though less frequent, risks involve bleeding and the formation of blood clots, problems related to anesthesia such as pneumonia, a blocked bowel, and the possibility of infection. Additionally, donors will have a scar from the surgery and may feel sick to their stomach afterward.

The American Kidney Fund also explains that there may also be some emotional risks involved. Some people feel anxious, stressed, sad (depressed), or guilty if the kidney they gave doesn't work well for the recipient. It is a very noble task to help someone gain a second chance for a better life. Understanding the risks and health implications can help you make the most informed choice. Let your healthcare professionals know about your doubts and worries, as it will help them make the process better for you.

US President Donald Trump recently claimed he had taken an “IQ test,” seemingly mistaking it for a dementia screening exam. Boasting that he achieved a perfect score, he also challenged Democratic representatives Jasmine Crockett and Alexandria Ocasio-Cortez (AOC) to attempt the same test.

Speaking aboard Air Force One, the 79-year-old described the exam as “very hard,” while mocking his opponents as “low IQ” individuals. This mix-up has once again drawn scrutiny to his cognitive health, with experts suggesting the confusion could be a possible sign of dementia.

Donald Trump Mistakes Cognitive Exam For IQ Test

On Monday (October 27), Trump told reporters that he had aced an intelligence test at Walter Reed Army Medical Center in Washington D.C. According to The New Republic, the test he referred to is likely the Montreal Cognitive Assessment (MoCA), a short 10-minute screening tool designed to detect early signs of dementia or Alzheimer’s disease. Despite this, Trump appeared to treat it as an intelligence measure rather than a diagnostic tool.

During his remarks, the Republican challenged Crockett, 44, and Ocasio-Cortez, 36, to take what he called the “IQ test.” “Let Jasmine go against Trump,” he said. “The first couple of questions are easy: a tiger, an elephant, a giraffe, you know. But when you get up to about five or six, and then 10, 20, 25—they couldn’t answer any of them,” he added.

Donald Trump’s Verbal Gaffes

This is not the first time Donald Trump has spoken about the MoCA test in exaggerated terms or made verbal missteps. Back in 2020, he told Fox News that he was asked “30 to 35 questions” of varying difficulty. “They always show you the first one, like a giraffe, a tiger, or a whale—‘Which one is the whale?’ OK. And then it gets harder and harder,” he said at the time, insisting that others had struggled where he had not.

Observers have long noted that Trump’s speeches often include rambling detours and non-sequiturs. “His speeches are full of non sequiturs,” said historian Kristin Kobes Du Mez of Calvin College, who has compared the speaking styles of Trump and Hillary Clinton. “It’s a completely different style from nearly any other politician you normally see on a big stage.”

Is Donald Trump Showing Early Signs of Dementia?

Clinical psychologists Dr. Harry Segal and Dr. John Gartner have expressed concern about the president’s psychomotor performance, suggesting that he may be displaying early indicators of dementia. Speaking in a recent episode of their program Shrinking Trump, Dr. Gartner said, “We’ve been observing a clear decline in his motor performance, which aligns with dementia, as it typically involves deterioration across all faculties and functions.”

He added that Trump’s public demeanor, language, and verbal disorganization have become more apparent signs of cognitive changes. According to The Mirror, Trump has also been seen attempting to conceal his hands in public, prompting further speculation about his health.

The recent mix-up between the Montreal Cognitive Assessment and an IQ test, some experts say, could further reinforce these concerns. To better understand this, we spoke with Dr. Neetu Tiwari, MBBS, MD (Psychiatry), Senior Resident at NIIMS Medical College & Hospital.

She explained, “Confusing the nature of the test could be something worth noting. In itself, a single instance of confusion does not amount to a diagnosis of Frontotemporal Dementia (FTD) or any other dementia type. But if this kind of misunderstanding is part of a wider pattern—repeated confusion, new behavioural changes, personality shifts, language difficulties, or problems managing daily tasks—it would justify a full cognitive and neurological assessment. Early detection often relies on observing clusters of symptoms that persist or worsen over time.”

Summing up her view, Dr. Tiwari added that while it is possible for such mislabelling to be a small indicator, it is not strong evidence on its own. “Context matters,” she said. “Age, baseline cognitive ability, education, emotional state, stress, and fatigue all influence mental performance. The responsible next step is to monitor whether other changes are taking place, and if so, to seek a detailed evaluation from a neurologist or neuropsychologist.”

The NHS has made the morning-after pill available for free in pharmacies across England, aiming to eliminate the “postcode lottery” that limited access to emergency contraception. Nearly 10,000 pharmacies can now provide the pill without charge, meaning women no longer need to visit a GP or book an appointment at a sexual health clinic to access it. Previously, some pharmacies charged up to £30 for the emergency pill.

Free Emergency Contraception Now Available at Pharmacies

Thousands of women in England can now access the morning-after pill for free from local pharmacies under the government’s NHS reforms, which are designed to make healthcare services more accessible without requiring GP appointments.

Research suggests that one in five women aged 18 to 35 will need emergency contraception each year. The pill can be taken up to five days after unprotected sex to prevent pregnancy.

Before this change, women had to buy the pill over the counter for as much as £30 or seek it free from GPs and sexual health clinics. However, both options often came with barriers such as appointment delays or reduced clinic availability due to funding cuts. With the pill being most effective when taken soon after unprotected sex, the NHS move has been welcomed by health advocates as a timely and practical step.

Where Can You Get the Free Morning-After Pill?

As reported by The Independent, around 10,000 pharmacies in England, including major chains like Boots and Superdrug, as well as independent outlets, are now offering the morning-after pill free of charge.

Claire Nevinson, Superintendent Pharmacist at Boots, said that pharmacists can also provide confidential advice on contraception choices. “Expanding the NHS Pharmacy Contraception Service to include access to emergency hormonal contraception is a significant step forward in helping women get timely healthcare,” she explained.

“Women can visit their local Boots pharmacy for free contraception advice, support, and medication—without needing a GP or clinic appointment.”

What Was the Situation Before This Change?

Until this rollout, women often had to make an appointment at a clinic or contact their GP to obtain emergency contraception, which sometimes led to delays, especially over weekends or in rural areas. Under the new plan, women of reproductive age can now walk into any participating pharmacy and speak directly with a trained pharmacist. Consultations are private, and the pill is dispensed immediately if appropriate.

This initiative adds to a growing list of NHS pharmacy services, which now include starting or continuing regular birth control, getting advice after beginning antidepressants, and receiving blood pressure checks and vaccinations. The goal is to make local pharmacies a convenient first stop for everyday healthcare needs.

A Step Toward Easier Access

The new scheme represents a broader effort to expand women’s healthcare access across the country. By making emergency contraception free and widely available, the NHS hopes to remove financial and logistical barriers that previously prevented timely use.

Disclaimer: This article is for informational purposes only and is not a substitute for professional medical advice or diagnosis. Always seek the guidance of your doctor or another qualified healthcare professional regarding any medical questions or concerns.