The people of the Marshall Islands face considerable challenges to maintain the health of its citizens. Recently, high population growth and crowded conditions in urban areas, have given rise to diseases, such as tuberculosis and leprosy. These conditions typically come about in rapid growth areas of the world that have limited economic and medical resources. In addition, exposure to the influence of Western culture has brought about a rise in the levels of adult obesity, non-communicable diseases, teenage pregnancy, suicide, and alcoholism, and tobacco use.
The state of health in Iraq has fluctuated during its turbulent recent history. During its last decade, the regime of Saddam Hussein cut public health funding by 90 percent, contributing to a substantial deterioration in health care. During that period, maternal mortality increased nearly threefold, and the salaries of medical personnel decreased drastically.
Jordan has quite an advanced health care system, although services remain highly concentrated in Amman. Government figures have put total health spending in 2002 at some 7.5 percent of Gross domestic product (GDP), while international health organizations place the figure even higher, at approximately 9.3 percent of GDP.
Healthcare in India features a universal health care system run by the constituent states and territories of India. The Constitution charges every state with "raising the level of nutrition and the standard of living of its people and the improvement of public health as among its primary duties". The National Health Policy was endorsed by the Parliament of India in 1983 and updated in 2002.
A federal constitutional republic, the United States of America is composed of fifty states and a federal district. The USA has a total land area of 9.83 million kilometres squared and a population of more than 300 million. It holds the distinction of being the world’s largest economic country, with a total GDP (Gross Domestic Product) of US$ 13 trillion in 2006.