A new report finds that Americans die younger and contract sexually transmitted diseases more than any other high-income country in the world.

The study—sponsored by the National Institutes of Health and the U.S. Department of Health and Human Services—found that the U.S. ranked last or near the bottom of key health areas despite spending more on health care per capita than any other nation.

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The report found that Americans had higher rates of chronic lung disease, teenage pregnancy, sexually transmitted diseases, obesity, drug-related deaths, infant mortality and homicides than countries that included Australia, Canada, Japan and many western European countries.

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The report calls for a national outreach to reach the American public to warn them about the health disadvantage they face. Researchers say that these types of disadvantages are not just among the poor or uninsured, that it affects everyone.

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