The statistics for the U.S. don't take into account several factors concerning the birth rate/mortality issue.
Firstly, access to the system does count for a percentage, especially among African Americans who have even a higher birth rate/mortality issue... 10% of live births fail to continue life within that group. This has to do, apparently, with the numbers of very young mothers, lack of pre-natal care and, to some extent, drug use. I'm sure there are those that will see raciism in the statistics, but that's all I can cite.
Additionally, the U.S. has the highest rate of premature births through advances in medicine/procedures. Often, those do not survive but are counted as live births. Secondly, the U.S. has the highest rate of births called "Super Twins", which are multiple births of 3, 4 or even more. Again, for better or worse this is a sign of advanced medical care for those that seek artificaially induced pregnancies.
It's been said by our canadian friends that the health care system works well if you are healthy. Meaning, those with a sore throat, headache or other "normal" malady probably get good, free service from the family practicioners. However, it becomes an entirely different story if one needs a specialist or advanced care. The elderly are screened for cost/benefit considerations and are denied care in some, perhaps many cases.
Contd.