Background: The Iraqi health system has had various obstacles while

the United States health system is within the top world health systems.

Aim: To compare the health systems of Iraq and the United States

between 2009-2019.

Method: This retrospective observational study. It covered five-yearly

demographic health data. Indeed, the author gathered the data for the

Iraqi ministry of health's Annual Health Reports and WHO documents

(2009-2019) on the internet on 21/9/2020 and gathered the data for the

health-united states (2009-2019). The authors applied Microsoft Excel

software 2010 for analysis.

Results: The childbearing age women in Iraq were 7,716,120 (23.8 %) in

2009 increased to 9,552,799 (24.4 %) in 2019, while in the United States

Were 73,153,460 (22.3 %) in 2009 increased to 75,078,840 (22.8 %) in

2019. There were 22,396 physicians and 4,864 dentists in Iraq in 2009,

increased to 29,217 physicians and 12,796 dentists in 2019, while in the

United States were 972,376 physicians and 181,388 dentists in 2009

increased to 1,119,420 physicians and 200,419 dentists in 2019. Iraqi

health system lacks eHealth, cancer screening, Telemedicine, and

Robotic surgery.

Conclusions: The Iraqi health leaders can follow valid actions alike the

United States health system for improvements.


  1. The fund for peace. 2021. FRAGILE STATES INDEX ANNUAL REPORT 2021. Available at: https://fragilestatesindex.org/wpcontent/uploads/2021/05/fsi2021-report.pdf.
  2. Sweileh W. Health-related publications on people living in fragile states in the alert zone: a bibliometric analysis. Int J Ment Health Syst 2020;14(70):20e30. https://doi.org/10.1186/s13033-020-00402-6.
  3. Aljashami M. The health situation in Iraq A historical study of the development of legal legislation in the government documents 1968-1979. J Baby Cent Huma Stud 2020;10(4):287e318. https://www.iasj.net/iasj/article/188000.
  4. Lafta R. Utilization of health services in a sample of PHC centers in Baghdad. Iraqi J Commu Med 2007;20(1):1e8. https://www.iasj.net/iasj/article/71640.
  5. AlBayati B. Standards to Fulfill the Right to Health Care. Anb Univ J Law Polit Scien 2019;9(2):86e130. https://www.iasj.net/iasj/article/173987.
  6. Alhiti H. A Reviewing the Top Health Systems with Comparison to Iraqi Health System. J Fac Med Baghdad 2021;63(1):43e9. https://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/1831.
  7. Anderlini D. The United States Health Care System is Sick: From Adam Smith to Overspecialization. Cureus 2018;10(5):e2720. https://doi.org/10.7759/cureus.2720.
  8. Crowley R. Envisioning a Better U.S. Health Care System for All: Coverage and Cost of Care. Ann Intern Med 2020;172:S7e32. https://doi.org/10.7326/M19-2415.
  9. Challab A. Common causes of death in childbearing age women in AL Diwanyia governorate/Iraq. QMJ 2019;15(2):36e44. https://www.iasj.net/iasj/download/032f2cf4d719ef3e.
  10. Shadyab A. Maternal Age at Childbirth and Parity as Predictors of Longevity Among Women in the United States: The Women’s Health Initiative. AJPH (Am J Public Health) 2017;107(1):113e9. https://doi.org/10.2105/AJPH.2016.303503.
  11. Alsheikh G. Improving outcomes of medical colleges: Institutional Governance and Communication Protocol (IGCP). MJB 2020;38(1):1e6. https://www.iasj.net/iasj/download/47e4ea3aa211f6bf.
  12. Khoshevisan M. Dental education in Iraq: issues, challenges and future. J Commun Media Stud 2017;3(11):260e3. http://www.jocms.org/index.php/jcms/article/view/221.
  13. Eugène C. The History of Medical Education in Europe and the United States, With Respect to Time and Proficiency. Acad Med 2018;93(Supplement 1):S49e54. https://doi.org/10.1097/ACM.0000000000002079.
  14. Nash D. A Review of the Global Literature on Dental Therapists. CDOE 2014;42(1):1e10. https://doi.org/10.1111/cdoe.12052.
  15. Abd Ghani M. Electronic Health Records Challenges and Barriers in Iraq. CEIS 2016;7(6):1e10.https://www.iiste.org/Journals/index.php/CEIS/article/viewFile/30934/31766.
  16. Fragidis L. Development of Nationwide Electronic Health Record (NEHR): An international survey.Health Polic Tech 2017;6(2):124e33.https://doi.org/10.1016/j.hlpt.2017. 04.004.
  17. Hassan W.Screening for Cervical Cancer by Sequential Examination of the Cervix.J Biotech Res Cent 2020;14(1):52e62.https://www.iasj.net/iasj/article/197041.
  18. Al Alwan N.Barriers to Baseline Needs for Early Detection of Breast Cancer among Iraqi Female Patients.Iraqi Nat J Nurs Speci 2016;29(2):1e11.https://www.iasj.net/iasj/article/ 121849.
  19. Thomas C. CDC Grand Rounds: the Future of Cancer Screening. Morb Mortal Wkly Rep 2015;64(12):324e7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4584530/.
  20. Abd Ghani M. BARRIERS FACES TELEMEDICINE IMPLEMENTATION IN THE DEVELOPING COUNTRIES: TOWARD BUILDING IRAQI TELEMEDICINE FRAMEWORK. ARPN J Engin Appl Scien 2015;15(4):1562e70. https://www.researchgate.net/profile/Mustafa_Jaber/publication/273872194_Barriers_faces_telemedicine_implementation_in_the_developing_countries_Toward_building_Iraqi_telemedicine_framework/links/554e3b8808ae739bdb8f22d3.pdf.
  21. Perednia D. Telemedicine Technology and Clinical Applications. JAMA 1995;273(6):483e8. https://doi.org/10.1001/jama.1995.03520300057037.
  22. Al-Rubaey R. Robotic Surgery and Tele-Surgery: A Review Article. MJB 2014;11(3). XVI XXIV, https://www.iasj.net/iasj/article/93723.
  23. Sheetz K. Trends in the Adoption of Robotic Surgery for Common Surgical Procedures. JAMANetwOpen 2020;3(1):e1918911. https://doi.org/10.1001/jamanetworkopen.2019.18911.