If you lived in Macedonia instead of Palau, you would:

Health

live 7.2 years longer

In Palau, the average life expectancy is 69 years (67 years for men, 72 years for women) as of 2024. In Macedonia, that number is 77 years (74 years for men, 79 years for women) as of 2024.

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be 33.8% less likely to be obese

In Palau, 40.5% of adults are obese as of 2024. In Macedonia, that number is 26.8% of people as of 2024.

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have 62.8% more doctors per person

Palau has 18.1 doctors per 10,000 people as of 2023. Macedonia has 29.4 as of 2022.

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have 13.8% more access to essential health services

Palau scores 65 out of 100 on the universal health coverage index as of 2021. Macedonia scores 74 as of 2021.

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Economy

make 46.3% less money

Palau has a GDP per capita of $19,532 as of 2025, while in Macedonia, the GDP per capita is $10,490 as of 2025.

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Life

be 96.6% less likely to die during childbirth

In Palau, approximately 89.0 women die from pregnancy or childbirth per 100,000 live births as of 2023. In Macedonia, 3.0 women do as of 2023.

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be 86.6% less likely to die during infancy

In Palau, approximately 18.6 children (per 1,000 live births) die before they reach the age of one as of 2024. In Macedonia, on the other hand, 2.5 children do as of 2024.

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have 17.7% fewer children

In Palau, there are approximately 10.7 babies per 1,000 people as of 2024. In Macedonia, there are 8.8 babies per 1,000 people as of 2024.

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Basic Needs

be 10.9% more likely to have internet access

In Palau, approximately 83.9% of the population has internet access as of 2024. In Macedonia, about 93.1% do as of 2025.

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Expenditures

spend 31.5% less on healthcare

Palau spends 10.8% of its total GDP on healthcare as of 2023. In Macedonia, that number is 7.4% of GDP as of 2023.

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Safety

be 74.3% less likely to die in a road accident

In Palau, road accidents kill 22.2 people per 100,000 as of 2021. In Macedonia, they kill 5.7 per 100,000 as of 2021.

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Infrastructure

find 4.1 times more home broadband

Palau has 7.3 fixed broadband subscriptions per 100 people as of 2023. Macedonia has 29.9 as of 2024.

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Environment

emit 95.2% less CO2

Palau emits 82.8 tonnes of CO2 per person each year as of 2024. Macedonia emits 4.0 tonnes as of 2024.

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Sources: World Bank (2022–2025), United Nations SDG Indicators (2021), World Health Organization (2024). How we calculate this

Macedonia: At a glance

Macedonia is a sovereign country in Europe, with a total land area of approximately 25,433 sq km. Macedonia gained its independence peacefully from Yugoslavia in 1991. Greece's objection to the new state's use of what it considered a Hellenic name and symbols delayed international recognition, which occurred under the provisional designation of "the Former Yugoslav Republic of Macedonia." In 1995, Greece lifted a 20-month trade embargo and the two countries agreed to normalize relations, but the issue of the name remained unresolved and negotiations for a solution are ongoing. Since 2004, the US and over 130 other nations have recognized Macedonia by its constitutional name, Republic of Macedonia. Ethnic Albanian grievances over perceived political and economic inequities escalated into an insurgency in 2001 that eventually led to the internationally brokered Ohrid Framework Agreement, which ended the fighting and established guidelines for constitutional amendments and the creation of new laws that enhanced the rights of minorities. Although Macedonia became an EU candidate in 2005, the country still faces challenges, including fully implementing the Framework Agreement, improving relations with Bulgaria, carrying out democratic reforms, and stimulating economic growth and development. Macedonia's membership in NATO was blocked by Greece at the Alliance's Summit of Bucharest in 2008.
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