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

Health

live 9.5 years less

In United States, the average life expectancy is 79 years (76 years for men, 81 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 86.2% less spent on your healthcare

United States spends $13,473 per person on healthcare as of 2023 (international dollars, adjusted for prices). Palau spends $1,857 as of 2023.

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have 50.9% fewer doctors per person

United States has 36.8 doctors per 10,000 people as of 2022. Palau has 18.1 as of 2023.

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have 24.4% less access to essential health services

United States scores 86 out of 100 on the universal health coverage index as of 2021. Palau scores 65 as of 2021.

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Economy

make 78.3% less money

United States has a GDP per capita of $90,027 as of 2025, while in Palau, the GDP per capita is $19,532 as of 2025.

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Life

be 5.2 times more 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 Palau, 89.0 women do as of 2023.

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be 3.4 times more 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 Palau, on the other hand, 18.6 children do as of 2024.

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Basic Needs

be 11.4% less likely to have internet access

In United States, approximately 94.7% of the population has internet access as of 2024. In Palau, about 83.9% do as of 2024.

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Expenditures

spend 36.5% less on education

United States spends 5.4% of its total GDP on education as of 2021. Palau spends 3.4% of total GDP on education as of 2023.

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spend 35.0% less on healthcare

United States spends 16.7% 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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Geography

see 92.4% less coastline

United States has a total of 19,924 km of coastline. In Palau, that number is 1,519 km.

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Safety

be 56.3% more likely to die in a road accident

In United States, road accidents kill 14.2 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 81.1% less home broadband

United States has 38.9 fixed broadband subscriptions per 100 people as of 2024. Palau has 7.3 as of 2023.

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Environment

emit 6.1 times more CO2

United States emits 13.6 tonnes of CO2 per person each year as of 2024. Palau emits 82.8 tonnes as of 2024.

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Sources: World Bank (2021–2025), United Nations SDG Indicators (2021), The World Factbook. 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 United States? See an in-depth size comparison.

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