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

Health

live 16.4 years less

In San Marino, the average life expectancy is 86 years (84 years for men, 87 years for women) as of 2024. In Palau, that number is 69 years (67 years for men, 72 years for women) as of 2024.

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see 64.5% less spent on your healthcare

San Marino spends $5,231 per person on healthcare as of 2023 (international dollars, adjusted for prices). Palau spends $1,857 as of 2023.

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have 60.9% fewer doctors per person

San Marino has 46.3 doctors per 10,000 people as of 2023. Palau has 18.1 as of 2023.

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have 15.6% less access to essential health services

San Marino scores 77 out of 100 on the universal health coverage index as of 2021. Palau scores 65 as of 2021.

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Economy

be 79.0% less likely to be unemployed

In San Marino, 8.1% of the labor force is unemployed as of 2017. In Palau, that number is 1.7% as of 2015.

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make 67.4% less money

San Marino has a GDP per capita of $59,871 as of 2023, while in Palau, the GDP per capita is $19,532 as of 2025.

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Life

have 2.5 times more children

In San Marino, there are approximately 4.2 babies per 1,000 people as of 2024. In Palau, there are 10.7 babies per 1,000 people as of 2024.

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be 11.1 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 Palau, 89.0 women do as of 2023.

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be 15.5 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 Palau, on the other hand, 18.6 children do as of 2024.

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Basic Needs

be 13.8% less likely to have internet access

In San Marino, approximately 97.3% of the population has internet access as of 2024. In Palau, about 83.9% do as of 2024.

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Expenditures

spend 18.6% more on education

San Marino spends 2.9% of its total GDP on education as of 2022. Palau spends 3.4% of total GDP on education as of 2023.

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spend 64.1% more on healthcare

San Marino spends 6.6% of its total GDP on healthcare as of 2023. In Palau, that number is 10.8% of GDP as of 2023.

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Safety

be 3.8 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 Palau, they kill 22.2 per 100,000 as of 2021.

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Infrastructure

find 79.5% less home broadband

San Marino has 35.8 fixed broadband subscriptions per 100 people as of 2022. Palau has 7.3 as of 2023.

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Sources: World Bank (2022–2025), United Nations SDG Indicators (2021), The World Factbook (2015–2017). How we calculate this

Palau: At a glance

Palau is a sovereign country in Australia-Oceania, with a total land area of approximately 459 sq km. After three decades as part of the UN Trust Territory of the Pacific under US administration, this westernmost cluster of the Caroline Islands opted for independence in 1978 rather than join the Federated States of Micronesia. A Compact of Free Association with the US was approved in 1986 but not ratified until 1993. It entered into force the following year when the islands gained independence.
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How big is Palau compared to San Marino? See an in-depth size comparison.

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