If you lived in Bhutan instead of San Marino, you would:

Health

live 12.6 years less

In San Marino, the average life expectancy is 86 years (84 years for men, 87 years for women) as of 2024. In Bhutan, that number is 73 years (72 years for men, 75 years for women) as of 2024.

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see 87.1% less spent on your healthcare

San Marino spends $5,231 per person on healthcare as of 2023 (international dollars, adjusted for prices). Bhutan spends $677 as of 2023.

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have 88.1% fewer doctors per person

San Marino has 46.3 doctors per 10,000 people as of 2023. Bhutan has 5.5 as of 2022.

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have 22.1% less access to essential health services

San Marino scores 77 out of 100 on the universal health coverage index as of 2021. Bhutan scores 60 as of 2021.

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Economy

make 92.5% less money

San Marino has a GDP per capita of $59,871 as of 2023, while in Bhutan, the GDP per capita is $4,493 as of 2025.

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Life

have 3.0 times more children

In San Marino, there are approximately 4.2 babies per 1,000 people as of 2024. In Bhutan, there are 12.5 babies per 1,000 people as of 2024.

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be 5.9 times more likely to die during childbirth

In San Marino, approximately 8.0 women die from pregnancy or childbirth per 100,000 live births as of 2023. In Bhutan, 47.0 women do as of 2023.

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be 35.0% less likely to be literate

In San Marino, the literacy rate is 99.9% as of 2022. In Bhutan, it is 64.9% as of 2022.

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be 11.4 times more likely to die during infancy

In San Marino, approximately 1.2 children (per 1,000 live births) die before they reach the age of one as of 2024. In Bhutan, on the other hand, 13.7 children do as of 2024.

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Expenditures

spend 33.1% less on healthcare

San Marino spends 6.6% of its total GDP on healthcare as of 2023. In Bhutan, that number is 4.4% of GDP as of 2023.

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spend 2.0 times more on education

San Marino spends 2.9% of its total GDP on education as of 2022. Bhutan spends 5.8% of total GDP on education as of 2023.

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Safety

be 2.1 times more likely to die in a road accident

In San Marino, road accidents kill 5.9 people per 100,000 as of 2021. In Bhutan, they kill 12.2 per 100,000 as of 2021.

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Infrastructure

find 91.8% less home broadband

San Marino has 35.8 fixed broadband subscriptions per 100 people as of 2022. Bhutan has 2.9 as of 2024.

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

Bhutan: At a glance

Bhutan is a sovereign country in South Asia, with a total land area of approximately 38,394 sq km. In 1865, Britain and Bhutan signed the Treaty of Sinchulu, under which Bhutan would receive an annual subsidy in exchange for ceding some border land to British India. Under British influence, a monarchy was set up in 1907; three years later, a treaty was signed whereby the British agreed not to interfere in Bhutanese internal affairs, and Bhutan allowed Britain to direct its foreign affairs. This role was assumed by independent India after 1947. Two years later, a formal Indo-Bhutanese accord returned to Bhutan the areas annexed by the British, formalized the annual subsidies the country received, and defined India's responsibilities in defense and foreign relations. In March 2005, King Jigme Singye WANGCHUCK unveiled the government's draft constitution - which introduced major democratic reforms - and pledged to hold a national referendum for its approval. In December 2006, the King abdicated the throne in favor of his son, Jigme Khesar Namgyel WANGCHUCK, in order to give him experience as head of state before the democratic transition. In early 2007, India and Bhutan renegotiated their treaty, eliminating the clause that stated that Bhutan would be "guided by" India in conducting its foreign policy, although Thimphu continues to coordinate closely with New Delhi. Elections for seating the country's first parliament were completed in March 2008; the king ratified the country's first constitution in July 2008. Bhutan experienced a peaceful turnover of power following parliamentary elections in 2013, which routed the incumbent party. The disposition of some 30,000 Bhutanese refugees - housed in two UN refugee camps in Nepal - remains unresolved.
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