American women of reproductive age score worse on just about every major health metric compared to their peers in other wealthy countries according to a new report from the Commonwealth Fund. The researchers looked at women ages 18–49 in 11 developed nations and found the U.S. had the highest maternal mortality rate by far at 23.8 maternal deaths per 100,000 live births. When broken out by race, the rate was 55.3 deaths per 100,000 births for Black women or about triple the 19.1 deaths per 100,000 for white women and 18.2 deaths per 100,000 for Hispanic women. American women also were among the most likely to have two or more chronic conditions, skip necessary care due to cost and have the worst rate of avoidable deaths.