Charted: How American Life Expectancy Compares to Its Peers
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Charted: How American Life Expectancy Compares to Its Peers

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How American Life Expectancy Compares to Its Peers

This was originally posted on our Voronoi app. Download the app for free on iOS or Android and discover incredible data-driven charts from a variety of trusted sources.

Key Takeaways

  • American life expectancy at birth is falling further behind that of comparable nations
  • The gap has increased from 2.2 years in 2000, to 4.1 years in 2023

For decades, Americans could expect to live about as long as their peers in other wealthy countries—but today, that story is changing.

Based on a 2025 analysis by Peterson-KFF, American life expectancy is now lagging significantly behind comparable nations, with the gap growing wider than ever before.

From chronic diseases to healthcare disparities, multiple factors are contributing to Americans dying younger. In this infographic, we take a look at how the U.S. stacks up—and how quickly it’s falling behind.

Data and Discussion

The data we used to create this graphic is included in the table below.

The comparable country group is based on averages across 11 nations: Australia, Austria, Belgium, Canada, France, Germany, Japan, Netherlands, Sweden, Switzerland, and the UK.

YearU.S. (yrs)Comparable Country
Average (yrs)
198073.774.6
198174.174.8
198274.575.1
198374.675.3
198474.775.7
198574.775.7
198674.776
198774.976.4
198874.976.5
198975.176.7
199075.476.9
199175.577.1
199275.877.3
199375.577.4
199475.777.8
199575.877.8
199676.178.1
199776.578.4
199876.778.6
199976.778.7
200076.879
20017779.3
20027779.4
200377.279.5
200477.680.1
200577.680.2
200677.880.6
200778.180.8
200878.281
200978.581.2
201078.781.4
201178.781.6
201278.881.6
201378.881.8
201478.982.1
201578.781.9
201678.782.2
201778.682.3
201878.782.3
201978.882.6
20207782
202176.482.2
202277.582.2
202378.482.5

Higher Spending, Lower Life Expectancy

According to Peterson-KFF, the U.S. has the lowest life expectancy among large, wealthy countries despite outspending its peers on healthcare.

In 2023, health spending per capita in the U.S. climbed to $13,432, versus $7,393 for the same 11 nation peer group.

This disconnect suggests inefficiencies, unequal access, and other systemic problems in the U.S. healthcare system are preventing resources from translating into longer, healthier lives.

Chronic Diseases Drag American Life Expectancy Down

A key factor behind the stagnation of life expectancy in the U.S. is the rising prevalence of chronic diseases.

This includes kidney disease, which in 2021 claimed 41 lives per 100,000 in the U.S., versus just 28 per 100,000 for the comparable country group.

Learn More on the Voronoi App

If you’re enjoying our content, check out this graphic showing global obesity projections by 2050 on Voronoi, the new app from Visual Capitalist.

Healthcare

Ranked: America’s Most Expensive Drugs

America’s most expensive drugs now top $4 million per dose. See why gene therapies carry record-breaking price tags.

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This cropped chart ranks America's most expensive drugs in 2025, using data from Fierce Pharma published 2025.

Ranked: America’s Most Expensive Drugs

This was originally posted on our Voronoi app. Download the app for free on iOS or Android and discover incredible data-driven charts from a variety of trusted sources.

Key Takeaways

  • Lenmeldy is America’s priciest drug in 2025 at $4.25 million per dose.
  • One Lenmeldy treatment equals roughly 12,500 Ozempic doses ($342 each, before insurance)

In 2025, the soaring cost of cutting-edge gene therapies has pushed individual drug prices to record highs.

The latest ranking of America’s most expensive drugs highlights how a single treatment can rival the price of a luxury home.

The data for this visualization comes from Fierce Pharma. It lists the 10 priciest U.S. drugs, all topping $2 million per course and most offering one-time, potentially curative benefits

Gene Therapies Dominate the Leaderboard

Lenmeldy, a treatment for the ultrarare disorder metachromatic leukodystrophy, costs $4.25 million per dose, eclipsing every other therapy launched to date.

RankDrug NameCost Per DoseCompanyUsed For
1Lenmeldy$4,250,000Kyowa KirinA gene therapy used
to treat kids with
metachromatic
leukodystrophy
(MLD), a rare
inherited metabolic
disorder
2Kebilidi$3,950,000PTC Therapeutics A gene therapy used
to treat children &
adults with AADC
deficiency, a rare
disorder that prevents
the body from making
key brain chemicals
3Hemgenix$3,500,000CSL BehringA one-time gene
therapy used to treat
adults with
hemophilia B to
reduce bleeding
episodes
4Elevidys$3,200,000Sarepta TherapeuticsA gene therapy used
to treat Duchenne
muscular dystrophy
(DMD) in people 4
years and older
5Lyfgenia$3,100,000bluebird bioA one-time gene
therapy used to treat
sickle cell disease
with a history of pain
crises
6Skysona$3,000,000bluebird bio A gene therapy used
to slow nerve damage
in boys with early,
active cerebral
adrenoleukodystrophy
(CALD)
7Roctavian$2,900,000BioMarinA one-time gene
therapy used to treat
adults with severe
hemophilia A who
don’t have AAV5
antibodies
8Rethymic$2,810,000Sumitomo PharmaA tissue-based
therapy used to help
kids with congenital
athymia build a
working immune
system
9Zynteglo$2,800,000bluebird bioA gene therapy used
to treat people with
transfusion
dependent beta
thalassemia
10Zolgensma$2,320,000NovartisA one-time gene
therapy used to treat
children under 2 with
spinal muscular
atrophy (SMA)

Note: Bluebird Bio is now Genetix Biotherapeutics after acquisition by two private equity firms.

Lenmeldy’s list price equals roughly 12,500 doses of popular diabetes drug Ozempic at its pre-insurance list price.

While the number seems astronomical, payers weigh it against lifelong care costs that can exceed $10 million for untreated MLD patients.

Similarly, third-ranked Hemgenix’s one-time $3.5 million cost compares with up to $20 million for decades of clotting-factor infusions.

Even at multimillion-dollar stickers, pay-once gene therapies can offer health-economic value over chronic treatments.

In fact, every drug on the top 10 list is a gene or cell-based therapy—scientific breakthroughs that replace or repair faulty genetic instructions.

Because they aim to cure rare and deadly conditions in a single dose, their development and manufacturing pipelines are complex, bespoke, and expensive.

ℹ️ Related: Check out where Ozempic ranks in America’s most common drugs by medicare spending.

Bluebird Bio’s Three-Drug Footprint

No company appears more often than Bluebird Bio, which places Lyfgenia, Skysona, and Zynteglo on the list.

Each addresses a different inherited blood or metabolic disorder, yet all share core technology roots developed over a decade.

Despite regulatory scrutiny and manufacturing setbacks, the company’s persistence has translated into multiple FDA approvals.

The cluster illustrates how a single firm can dominate a high-value therapeutic niche.

Bluebird Bio was acquired in June, 2025 by private equity firms Carlyle Group and SK Capital.

Learn More on the Voronoi App

For related coverage, check out Where Americans Pay the Most (and Least) for Health Insurance on Voronoi, the new app from Visual Capitalist.

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Business

Ranked: America’s Most Common Drugs by Medicare Spending

Looking at what’s shaping U.S. healthcare trends by sifting through data about America’s most common drugs by Medicare spending, who manufactures them, and how much they cost.

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This cropped graphic ranks America's most common drugs, by Medicare spending in 2023.

Ranked: America’s Most Common Drugs by Medicare Spending

This was originally posted on our Voronoi app. Download the app for free on iOS or Android and discover incredible data-driven charts from a variety of trusted sources.

Key Takeaways

  • Eliquis tops 2023 Medicare spending at $18.3 billion, more than twice the second-ranked drug (Ozempic).
  • An aging population—and related conditions like blood clots—are reshaping U.S. healthcare costs.
  • The top 35 drugs by Medicare spending are produced by just 20 companies, highlighting the market’s concentration and pricing power.

From diabetes injectables to blockbuster blood thinners, a handful of drugs account for a sizable share of Medicare’s pharmacy bill.

This visualization ranks the most common drugs by total Medicare spending in 2023, sourced from Centers for Medicare & Medicaid Services

It tracks every claim, dosage, and dollar flowing through Medicare Part D, the federal prescription-drug benefit.

Blood Thinners Are America’s Most Common Drug

Eliquis (generic name: Apixaban) alone racked up $18.3 billion in Medicare spending in 2023, nearly double the next drug, Ozempic.

Alongside Xarelto, anticoagulants accounted for over $24 billion in 2023.

RankDrug NameCompanyTotal Medicare
Spending (2023)
Prevents / Treats
1EliquisBMS Primarycare$18,273,451,967Blood clots
2OzempicNovo Nordisk$9,194,048,435Diabetes, weight loss
3JardianceBoehringer Ing.$8,839,935,063Diabetes
4TrulicityEli Lilly & Co.$7,363,856,224Diabetes
5XareltoJanssen Pharm.$6,309,246,823Blood clots
6Trelegy ElliptaGlaxosmithkline$4,455,884,010COPD
7Humira(Cf) PenAbbvie US LLC$4,419,828,188Arthritis, Crohn's disease
8FarxigaAstrazeneca$4,342,182,307Diabetes
9JanuviaMerck Sharp & D$4,090,836,821Diabetes
10RevlimidCelgene/BMS$3,859,804,789Blood cancers & bone marrow disease
11EntrestoNovartis$3,430,441,590Heart failure
12Lantus SolostarSanofi-Aventis$3,157,233,282Diabetes
13BiktarvyGilead Sciences$3,152,256,269HIV infection
14Stelara*Janssen Biotech*$2,987,778,600Psoriasis, psoriatic arthritis, Crohn's disease
15XtandiAstellas Pharma$2,601,510,278Prostate cancer
16MyrbetriqAstellas Pharma$2,510,288,600Overactive bladder
17ImbruvicaPharmacyclics,$2,371,893,292Blood cancers
18MounjaroEli Lilly & Co.$2,361,384,157Diabetes, weight loss
19Enbrel SureclickAmgen$2,054,858,499Various kind of arthritis
20IbrancePfizer US Pharm$2,020,903,604Breast cancer
21SymbicortAstrazeneca$2,004,295,918Asthma, COPD
22JakafiIncyte Corporat$1,940,765,069Bone marrow disorders
23Novolog FlexpenNovo Nordisk$1,875,605,627Diabetes
24OfevBoehringer Ing.$1,837,061,150Pulmonary fibrosis
25LinzessAllergan Inc.$1,825,245,843IBS, constipation
26Invega SustennaJanssen Pharm.$1,821,418,393Schizophrenia
27PomalystCelgene/BMS$1,709,288,465Blood cancers
28IngrezzaNeurocrine Bios$1,705,132,723Huntington’s disease
29LenalidomideAmneal Pharmaceuticals / Sun Pharma / Teva Pharmaceuticals$1,681,292,157Blood cancers & bone marrow disease
30RybelsusNovo Nordisk$1,665,906,943Diabetes, weight loss
31RestasisAllergan Inc.$1,501,664,198Chronic dry eye
32CreonAbbvie US LLC$1,466,866,603Pancreatic enzyme replacement
33ArexvyGlaxosmithkline$1,387,933,256RSV prevention
34Breo ElliptaGlaxosmithkline$1,373,600,714Asthma, COPD
35VyndamaxPfizer US Pharm$1,349,659,508Amyloid heart disease

Their rise reflects both an aging population and expanding preventative treatment for stroke and atrial fibrillation.

With almost four million beneficiaries, Eliquis is prescribed to roughly one in 10 Part D enrollees.

ℹ️ Related: See the 25 countries that are projected have the most seniors in 2050.

Diabetes and Weight-Loss Therapies Surge in America

Four GLP-1 and SGLT2 diabetes drugs—Ozempic, Jardiance, Trulicity, and Farxiga—collectively totaled $29.7 billion.

Novo Nordisk’s Ozempic and Eli Lilly’s Mounjaro also double as weight-loss aids, driving demand beyond traditional type-2 diabetes patients.

This (sortable table) lists cost per dose for the top 35 drugs.

RankDrug NameCompanyGeneric Name# of BeneficiariesMedicare Spending Per Dosage Unit
1EliquisBMS PrimarycareApixaban3,927,848$10
2OzempicNovo NordiskSemaglutide1,464,468$356
3JardianceBoehringer Ing.Empagliflozin1,882,768$20
4TrulicityEli Lilly & Co.Dulaglutide938,731$483
5XareltoJanssen Pharm.Rivaroxaban1,324,165$18
6Trelegy ElliptaGlaxosmithklineFluticasone/Umeclidin/Vilanter1,050,583$11
7Humira(Cf) PenAbbvie US LLCAdalimumab61,474$3,750
8FarxigaAstrazenecaDapagliflozin Propanediol993,909$20
9JanuviaMerck Sharp & DSitagliptin Phosphate843,391$19
10RevlimidCelgene/BMSLenalidomide36,967$878
11EntrestoNovartisSacubitril/Valsartan663,587$12
12Lantus SolostarSanofi-AventisInsulin Glargine,Hum.Rec.Anlog1,198,294$30
13BiktarvyGilead SciencesBictegrav/Emtricit/Tenofov Ala83,843$133
14Stelara*Janssen Biotech*Ustekinumab22,930$26,818
15XtandiAstellas PharmaEnzalutamide28,658$146
16MyrbetriqAstellas PharmaMirabegron769,978$15
17ImbruvicaPharmacyclics,Ibrutinib17,100$487
18MounjaroEli Lilly & Co.Tirzepatide370,203$540
19Enbrel SureclickAmgenEtanercept34,287$1,812
20IbrancePfizer US PharmPalbociclib16,015$753
21SymbicortAstrazenecaBudesonide/Formoterol Fumarate984,400$39
22JakafiIncyte CorporatRuxolitinib Phosphate14,041$298
23Novolog FlexpenNovo NordiskInsulin Aspart588,526$39
24OfevBoehringer Ing.Nintedanib Esylate20,444$221
25LinzessAllergan Inc.Linaclotide565,088$18
26Invega SustennaJanssen Pharm.Paliperidone Palmitate70,988$2,344
27PomalystCelgene/BMSPomalidomide12,739$1,089
28IngrezzaNeurocrine BiosValbenazine Tosylate29,191$268
29LenalidomideAmneal Pharmaceuticals / Sun Pharma / Teva PharmaceuticalsLenalidomide20,403$682
30RybelsusNovo NordiskSemaglutide285,693$32
31RestasisAllergan Inc.Cyclosporine492,479$11
32CreonAbbvie US LLCLipase/Protease/Amylase185,325$9
33ArexvyGlaxosmithklineRsvpref3 Antigen/As01e/PF4,390,151$316
34Breo ElliptaGlaxosmithklineFluticasone/Vilanterol556,799$7
35VyndamaxPfizer US PharmTafamidis7,589$735

Their high list prices—Ozempic averages $356 per dose—illustrate how novel biologics multiply spending even with smaller patient counts.

ℹ️ Related: See where Americans skipped going to the doctor (even when they had to) in 2023.

Cancer and Autoimmune Biologics are Expensive Drugs

Revlimid, Humira, and Stelara each exceed $3 billion despite treating fewer than 100,000 beneficiaries each.

Revlimid’s $878 per dose and Stelara’s staggering $26,818 underscore why biologics dominate specialty-drug budgets.

Learn More on the Voronoi App

Want more health-related data storytelling? Check out Ranked: Countries That Spend the Most Years in Poor Health on Voronoi, the new app from Visual Capitalist.

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