If you lived in Macedonia instead of United States, you would:

Health

be 34.5% less likely to be obese

In United States, 41.0% of adults are obese as of 2024. In Macedonia, that number is 26.8% of people as of 2024.

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be 63.0% less likely to die by suicide

United States has a suicide rate of 15.6 per 100,000 people as of 2021. In Macedonia, it is 5.8 per 100,000 as of 2021.

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live 2.3 years less

In United States, the average life expectancy is 79 years (76 years for men, 81 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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see 86.6% less spent on your healthcare

United States spends $13,473 per person on healthcare as of 2023 (international dollars, adjusted for prices). Macedonia spends $1,808 as of 2023.

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have 20.0% fewer doctors per person

United States has 36.8 doctors per 10,000 people as of 2022. Macedonia has 29.4 as of 2022.

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have 14.0% less access to essential health services

United States scores 86 out of 100 on the universal health coverage index as of 2021. Macedonia scores 74 as of 2021.

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Economy

be 2.9 times more likely to be unemployed

In United States, 4.2% of the labor force is unemployed as of 2025. In Macedonia, that number is 12.3% as of 2025.

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make 88.3% less money

United States has a GDP per capita of $90,027 as of 2025, while in Macedonia, the GDP per capita is $10,490 as of 2025.

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Life

be 82.4% less likely to die during childbirth

In United States, approximately 17.0 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 54.5% less likely to die during infancy

In United States, approximately 5.5 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 17.0% fewer children

In United States, there are approximately 10.6 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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Expenditures

spend 55.5% less on healthcare

United States spends 16.7% 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 73.4% less likely to be murdered

United States has a homicide rate of 5.8 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 59.9% less likely to die in a road accident

In United States, road accidents kill 14.2 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 23.1% less home broadband

United States has 38.9 fixed broadband subscriptions per 100 people as of 2024. Macedonia has 29.9 as of 2024.

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live with 86.6% more strain on fresh water

United States withdraws 28% of its available fresh water each year as of 2022. Macedonia withdraws 53% as of 2022.

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use 74.1% less electricity

United States uses 12,839 kWh of electricity per person each year as of 2024. Macedonia uses 3,320 kWh as of 2023.

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Environment

emit 70.6% less CO2

United States emits 13.6 tonnes of CO2 per person each year as of 2024. Macedonia emits 4.0 tonnes as of 2024.

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be 4.4 times more likely to die from air pollution

In United States, air pollution causes 14.0 deaths per 100,000 people as of 2019. In Macedonia, it causes 62.0 as of 2019.

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Sources: World Bank (2021–2025), United Nations SDG Indicators (2019–2021), 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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