Death rate = 1 per person, on planet Earth at least.
I'm curious where Kevin got the 'statistic' of "tens of thousands...die each year for lack of access to medical care." That is the type of statistic that lacks specificity, as most of those types of pronouncements do. There is a difference between dying because one failed to seek medical care until it was too late, and some wretched poor who hadn't the wherewithall to seek out the available care.
If any are your "fellow citizens", have you taken up the cause? Looked into your local community's stats on that? Why folks aren't at least getting the benefits they are eligible for (Medicare/Medicaid or other state system), or maybe they don't want to sign up for them because that means going on somebody's record, or don't have transportation to sign up at the govt. office (granted, often a humbling experience)? Have you considered joining a local initiative to improve things? Volunteered at a free health clinic?
There are free health clinics. Since they operate on a shoestring (volunteer doctors and nurses) they can't take drop-ins who are taking their last breath, but they will provide basic primary care and even some dentistry to stabalize, and some social work services to look for resources going forward. The person must make an appointment which they may not get into for a few weeks, get there, fill out forms, talk to doctors, follow recommendations, and some people just don't want to do all that. They wait until they are at death's door, call 911 to be transported to an ER where they WILL be seen and stabalized and again referred to social work to help them identify resources. Lots of effort is made, but patients offen do not follow through. It is a "here I am, fix my heart failure, my diabetes, my emphysema and my vascular insufficiency and my gangrenous sacral wound from 20 years of laying in bed and smoking 3 packs a day and eating three double whoppers and four orders of fries every day" mentality. Is that one in the "tens of thousands" that seek medical care for the first time...at age 65?
Some avoid the doctor because they will be asked about their smoking, drinking, drugs histories and they don't want to give that information nor stop smoking, drinking and drugs. Overall it can come down to personal responsibility, which seems to be a sinful thing to say that people should have...personal responsibility. I wasn't given a big lecture about it during my growing up years. I just noticed that my dad went to work every day, mom was tight with spending, both expected us kids to attend K-12 school, mind the teacher and make decent grades, and make a plan for our own futures including jobs that would sustain our needs (they certainly were not going to support us after 18), prepare for the slings and arrows of outrageous misfortune we would enounter in daily life and the eventual ravages of old age.
Sorry, but in the USA most people, with some effort, have access to health care. It is mostly us suckers who worked hard, have middle incomes, and pay big insurance premiums who buy the idea that some "tens of thousands of people" have no access at all to health care. That's one of the lines the politicians sell, BTW.
The previous is not an endorsement of any political party or ideology.