If you lived in Macedonia instead of Puerto Rico, you would:

Health

be 36.7% less likely to be obese

In Puerto Rico, 42.4% of adults are obese as of 2024. In Macedonia, that number is 26.8% of people as of 2024.

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live 5.3 years less

In Puerto Rico, the average life expectancy is 82 years (78 years for men, 85 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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Economy

be 2.0 times more likely to be unemployed

In Puerto Rico, 6.0% of the labor force is unemployed as of 2025. In Macedonia, that number is 12.3% as of 2025.

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make 74.2% less money

Puerto Rico has a GDP per capita of $40,620 as of 2025, while in Macedonia, the GDP per capita is $10,490 as of 2025.

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Life

be 72.7% less likely to die during childbirth

In Puerto Rico, approximately 11.0 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 58.6% less likely to die during infancy

In Puerto Rico, approximately 6.0 children (per 1,000 live births) die before they reach the age of one as of 2022. In Macedonia, on the other hand, 2.5 children do as of 2024.

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have 54.4% more children

In Puerto Rico, there are approximately 5.7 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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Safety

be 89.5% less likely to be murdered

Puerto Rico has a homicide rate of 14.6 per 100,000 people as of 2023. In Macedonia, that number is 1.5 per 100,000 as of 2023.

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be 54.4% less likely to die in a road accident

In Puerto Rico, road accidents kill 12.5 people per 100,000 as of 2021. In Macedonia, they kill 5.7 per 100,000 as of 2021.

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Infrastructure

live with 2.7 times more strain on fresh water

Puerto Rico withdraws 20% of its available fresh water each year as of 2022. Macedonia withdraws 53% as of 2022.

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Environment

emit 17.0% less CO2

Puerto Rico emits 4.8 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), World Health Organization (2024), United Nations SDG Indicators (2021), The World Factbook (2022). 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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