This is Sally Pipes, writing in the Wall Street Journal:
Doctors in the U.S. are much more aggressive than foreign counterparts about trying to save premature babies. Thousands of babies that would have been declared stillborn in other countries and never given a chance at life are saved in the U.S…. Unfortunately, some of the premature babies that American hospitals try to save don’t make it. Their deaths inflate the overall infant mortality rate. But most premature babies are saved, largely because America’s medical research community is exceptionally innovative.
When compared to peer countries, the United States was the absolute worst with respect to still births, infant mortality, and low birth weight. Some have tried to blame this on “coding” differences. In other words, they will claim that other countries will refuse to define a premature birth as we do, resulting in artificially high numbers in the US. But when this report recalculated the rates to exclude such births equally in all countries, we still ranked last.