WeCovr Intelligence / 2026 Study
While Gross Domestic Product (GDP) measures output, it rarely reflects the day-to-day safety of residents. The 2026 Gross Protection model weights health outcomes, civil safety, household financial exposure, and environmental resilience to identify where residents are most systemically protected. In this report, safety means ordinary human health and life protection, not military strength.
Top ranked
88.9 Global Safety score
Body 83.4 / Life 98.1 / Wallet 87.2 / Planet 87Key finding
The prosperity paradox is the core result here. Paper wealth is not a proxy for day-to-day safety. Countries with strong health outcomes, low homicide risk, manageable direct care costs, and resilient environmental conditions now move above economies whose wealth is offset by mortality, access pressure, crime, or climate risk.
Study name
Published as the WeCovr Intelligence 2026 Global Safety Index.
Ranked by the Gross Protection geometric formula: Body Shield 35%, Life Shield 30%, Wallet Shield 20%, and Planet Shield 15%. The separate tables below show the evidence behind each pillar.
| Rank | Country | Region | Global Safety score | Shields | Badges |
|---|---|---|---|---|---|
| 1 | 🇱🇺 Luxembourg | Europe | 88.9 | Shield breakdown | Global Safe Haven |
| 2 | 🇸🇬 Singapore | Asia | 85.6 | Shield breakdown | Resilient Tier Civil Security |
| 3 | 🇳🇴 Norway | Europe | 83.8 | Shield breakdown | Resilient Tier Pure Air Civil Security |
| 4 | 🇯🇵 Japan | Asia | 80.2 | Shield breakdown | Resilient Tier Civil Security |
| 5 | 🇮🇸 Iceland | Europe | 79.5 | Shield breakdown | Resilient Tier Pure Air |
| 6 | 🇳🇱 Netherlands | Europe | 79.1 | Shield breakdown | Resilient Tier |
| 7 | 🇨🇠Switzerland | Europe | 79.1 | Shield breakdown | Resilient Tier Civil Security |
| 8 | 🇸🇪 Sweden | Europe | 79.1 | Shield breakdown | Resilient Tier Pure Air |
| 9 | 🇶🇦 Qatar | Middle East | 78.9 | Shield breakdown | Resilient Tier Civil Security |
| 10 | 🇦🇹 Austria | Europe | 78.7 | Shield breakdown | Resilient Tier |
| 11 | 🇩🇰 Denmark | Europe | 78.7 | Shield breakdown | Resilient Tier |
| 12 | 🇮🇪 Ireland | Europe | 78.6 | Shield breakdown | Resilient Tier |
| 13 | 🇫🇷 France | Europe | 77.8 | Shield breakdown | Resilient Tier |
| 14 | 🇩🇪 Germany | Europe | 77.5 | Shield breakdown | Resilient Tier |
| 15 | 🇦🇪 UAE | Middle East | 77.5 | Shield breakdown | Resilient Tier |
| 16 | 🇮🇹 Italy | Europe | 74.9 | Shield breakdown | Civil Security |
| 17 | 🇸🇮 Slovenia | Europe | 74.3 | Shield breakdown | Civil Security |
| 18 | 🇮🇱 Israel | Asia | 74 | Shield breakdown | |
| 19 | ðŸ‡ðŸ‡° Hong Kong | Asia | 73.8 | Shield breakdown | Civil Security |
| 20 | 🇪🇸 Spain | Europe | 72.8 | Shield breakdown | |
| 21 | 🇨🇿 Czechia | Europe | 72.7 | Shield breakdown | |
| 22 | 🇦🇺 Australia | Oceania | 72.5 | Shield breakdown | Pure Air |
| 23 | 🇲🇹 Malta | Europe | 72.2 | Shield breakdown | |
| 24 | 🇳🇿 New Zealand | Oceania | 71.8 | Shield breakdown | Pure Air |
| 25 | 🇨🇾 Cyprus | Europe | 71.5 | Shield breakdown | |
| 26 | 🇸🇦 Saudi Arabia | Middle East | 70.9 | Shield breakdown | |
| 27 | 🇫🇮 Finland | Europe | 69.3 | Shield breakdown | Pure Air |
| 28 | 🇧🇪 Belgium | Europe | 69.2 | Shield breakdown | |
| 29 | 🇹🇼 Taiwan | Asia | 68.1 | Shield breakdown | |
| 30 | 🇨🇦 Canada | North America | 66 | Shield breakdown | Pure Air |
| 31 | 🇬🇧 United Kingdom | Europe | 65.7 | Shield breakdown | |
| 32 | 🇰🇷 South Korea | Asia | 65.3 | Shield breakdown | Civil Security |
| 33 | 🇹🇷 Turkey | Middle East | 64.9 | Shield breakdown | |
| 34 | 🇪🇪 Estonia | Europe | 64.3 | Shield breakdown | Pure Air |
| 35 | 🇲🇾 Malaysia | Asia | 62.6 | Shield breakdown | |
| 36 | 🇺🇸 United States | North America | 62.6 | Shield breakdown | |
| 37 | 🇬🇷 Greece | Europe | 62.4 | Shield breakdown | |
| 38 | 🇵🇹 Portugal | Europe | 61.6 | Shield breakdown | |
| 39 | 🇹🇠Thailand | Asia | 59.3 | Shield breakdown | |
| 40 | 🇵🇱 Poland | Europe | 57.8 | Shield breakdown | |
| 41 | 🇺🇾 Uruguay | South America | 56.8 | Shield breakdown | |
| 42 | 🇵🇦 Panama | North America | 56.7 | Shield breakdown | |
| 43 | 🇦🇷 Argentina | South America | 55.9 | Shield breakdown | |
| 44 | 🇨🇷 Costa Rica | North America | 55.3 | Shield breakdown | Pure Air |
| 45 | 🇵🇪 Peru | South America | 44.5 | Shield breakdown | |
| 46 | 🇨🇱 Chile | South America | 38.8 | Shield breakdown | |
| 47 | 🇨🇴 Colombia | South America | 29.2 | Shield breakdown | |
| 48 | 🇧🇷 Brazil | South America | 27.2 | Shield breakdown | |
| 49 | 🇲🇽 Mexico | North America | 11.2 | Shield breakdown |
Reserved for nations achieving a top-tier GSI score (>85), representing elite systemic resilience.
Nations with exceptionally low out-of-pocket risk or high GDP-to-cost protection ratios.
Systems characterized by 'Very Low' or 'Low' wait times combined with high survival outcomes.
Strong performers (Score >70) that provide stable protection despite specific regional pressures.
Highlights nations with exceptionally low homicide rates (<0.6 per 100k).
Recognizes nations with elite air quality performance (Score >90).
Sources behind this table
Global Safety scores combine OECD Health at a Glance, WHO Global Health Observatory, WHO National Health Accounts, WHO / World Bank financial-protection data, World Bank GNI Atlas context, World Bank / UNODC homicide series VC.IHR.PSRC.P5, WHO Ambient Air Quality Database V6.1, and Germanwatch climate-risk context.
While national wealth provides the foundation for safety, the 2026 Index reveals that GDP is not a guaranteed proxy for resident protection. By mapping the four Resilience Shields - Body, Life, Wallet, and Planet - we identify a 'Resilience Frontier' where systemic design often outweighs raw economic output.
The radar chart illustrates this balance: an 'Elite Haven' is defined not just by the depth of its resources, but by the symmetry of its protection. Even high-income nations can fall into a 'Protection Gap' if elite medical outcomes (Body) are undermined by high personal financial exposure (Wallet) or civil safety volatility (Life).
Mapping Economic Wealth (GDP) vs. Systemic Protection. Top-Left is the Efficiency Frontier.
Mapping Care Access Speed vs. Clinical Survival. Top-right is the Gold Standard.
These notes summarize the main country-level factor behind each result under the Gross Protection model, from healthcare access and mortality to household cost exposure, safety pressure, and environmental resilience.
| Rank | Country | Global Safety score | Commentary |
|---|---|---|---|
🇱🇺 Luxembourg Europe | 88.9 | Strong financial safety net. Low household health-cost exposure in this panel and generally short specialist waits. | |
🇸🇬 Singapore Asia | 85.6 | Rapid throughput in a tightly managed public-private system, with meaningful cost-sharing risk for households. | |
🇳🇴 Norway Europe | 83.8 | Very high income and broad public coverage, with elective surgery backlog risk still relevant for residents. | |
🇯🇵 Japan Asia | 80.2 | Strong healthy-ageing profile. High healthy life expectancy at age 60 and relatively low friction for specialist consultations. | |
🇮🇸 Iceland Europe | 79.5 | High human-development profile and strong cardiac care outcomes, with access constraints possible outside major centres. | |
🇳🇱 Netherlands Europe | 79.1 | Efficiency leader. Broad population coverage is paired with strong same-day and next-day GP access in OECD comparisons. | |
🇨🇠Switzerland Europe | 79.1 | Strong survival outcomes and generally rapid covered access, offset by comparatively high direct household cost exposure. | |
🇸🇪 Sweden Europe | 79.1 | Premier screening model. Strong breast cancer screening performance supports early detection. | |
🇶🇦 Qatar Middle East | 78.9 | High medical technology density and strong financial safety nets for inhabitants. | |
🇦🇹 Austria Europe | 78.7 | Coordinated social-insurance system with strong infrastructure and generally low access friction. | |
🇩🇰 Denmark Europe | 78.7 | Ambulatory care pioneer. Same-day surgery strength is offset by remaining surgery backlogs. | |
🇮🇪 Ireland Europe | 78.6 | Reform leader. Primary care expansions improve the GNI-adjusted resilience score. | |
🇫🇷 France Europe | 77.8 | Safety net leader. Screening programmes support strong treatable cancer survival. | |
🇩🇪 Germany Europe | 77.5 | Infrastructure leader. High hospital bed capacity supports comparatively short diagnostic and specialist access times. | |
🇦🇪 UAE Middle East | 77.5 | Infrastructure wild card. Rapid hospital expansion and low personal financial risk. | |
🇮🇹 Italy Europe | 74.9 | Strong longevity but penalised for rising regional disparities in access speed. | |
🇸🇮 Slovenia Europe | 74.3 | Equity benchmark. Outperforms major G7 nations in financial resilience for low earners. | |
🇮🇱 Israel Asia | 74 | Digital tech leader. Strong AMI survival rates reflect integrated emergency care. | |
ðŸ‡ðŸ‡° Hong Kong Asia | 73.8 | Dual public-private system: private access can be fast, while public elective waits remain a planning factor. | |
🇪🇸 Spain Europe | 72.8 | Lifestyle benchmark. High life expectancy offset by surgical wait-list volume. | |
🇨🇿 Czechia Europe | 72.7 | Superior income equality supports consistent health outcomes across social groups. | |
🇦🇺 Australia Oceania | 72.5 | Prevention model. Recent public-health measures have reduced some lifestyle risks, while public elective-care waits remain relevant. | |
🇲🇹 Malta Europe | 72.2 | Compact public system with strong expat appeal; private top-ups are common for faster access. | |
🇳🇿 New Zealand Oceania | 71.8 | High safety profile and strong air-quality appeal, with elective surgery waits still relevant for residents. | |
🇨🇾 Cyprus Europe | 71.5 | GeSY reform expanded resident coverage, making Cyprus a stronger retiree comparison within Europe. | |
🇸🇦 Saudi Arabia Middle East | 70.9 | Expanding mandatory-insurance model with sustained infrastructure investment and partial public coverage for residents. | |
🇫🇮 Finland Europe | 69.3 | Strong air-quality profile. Regional access in rural areas remains a secondary resilience risk. | |
🇧🇪 Belgium Europe | 69.2 | High physician satisfaction offset by elevated catastrophic household health spend risk. | |
🇹🇼 Taiwan Asia | 68.1 | Accessible single-payer model with low primary-care friction, offset by higher direct household cost exposure. | |
🇨🇦 Canada North America | 66 | System under pressure: unmet medical needs remain elevated among G7 peers. | |
🇬🇧 United Kingdom Europe | 65.7 | The protection trap: low direct household costs but high waits and weak avoidable mortality performance. | |
🇰🇷 South Korea Asia | 65.3 | Low obesity prevalence and fast specialist access, but household financial exposure remains high. | |
🇹🇷 Turkey Middle East | 64.9 | Accessible health system with rapid infrastructure gains, offset by regional safety and economic volatility considerations. | |
🇪🇪 Estonia Europe | 64.3 | Digitally advanced health system and strong Baltic safety profile, with elective waits still a planning factor. | |
🇲🇾 Malaysia Asia | 62.6 | Medical-tourism hub with fast private pathways and broad public-sector access for residents. | |
🇺🇸 United States North America | 62.6 | The spending paradox. High per-capita health spending and fast access for well-insured patients, but avoidable mortality and coverage fragmentation weaken protection. | |
🇬🇷 Greece Europe | 62.4 | Broad public entitlement and strong lifestyle appeal, offset by public wait pressure and reliance on private access for speed. | |
🇵🇹 Portugal Europe | 61.6 | Strong longevity but heavy financial burdens for non-covered residents. | |
🇹🇠Thailand Asia | 59.3 | Tax-funded universal coverage supports strong value-for-money access, with public wait pressure varying by province. | |
🇵🇱 Poland Europe | 57.8 | Major cardiac access gains over the last decade, but longevity still lags the OECD average. | |
🇺🇾 Uruguay South America | 56.8 | Stable Latin American profile with broad coverage and a comparatively strong civil-safety reputation. | |
🇵🇦 Panama North America | 56.7 | Private hospital access is a relocation strength, while private cover remains a standard planning assumption for expats. | |
🇦🇷 Argentina South America | 55.9 | Universal right to healthcare is offset by resource pressure and crowding in major public hubs. | |
🇨🇷 Costa Rica North America | 55.3 | Long-established social insurance system and strong retiree appeal, with access pressure varying across public facilities. | |
🇵🇪 Peru South America | 44.5 | Coverage has expanded, but direct household costs and access gaps remain important outside major urban centres. | |
🇨🇱 Chile South America | 38.8 | Strong spend-to-GDP growth but severe financial risk for middle-income families. | |
🇨🇴 Colombia South America | 29.2 | High avoidable mortality in this panel. System resilience and safety indicators remain important reform priorities. | |
🇧🇷 Brazil South America | 27.2 | Universal public coverage is broad, but regional fragmentation, safety concerns, and elective waits remain material. | |
🇲🇽 Mexico North America | 11.2 | High-fragility profile. Direct health costs and security risk can create material pressure for households. |
Sources behind this table
Country notes synthesize the same pillar evidence used in the score: OECD mortality and wait-time benchmarks, WHO and national health-system references, WHO / World Bank financial-protection indicators, UNODC homicide data, and environmental resilience inputs. Notes are interpretive summaries, not separate scored variables.
Waiting time can vary by procedure, region, hospital network, and whether a resident uses public or private care. The table gives a practical country-level read on primary, specialist, diagnostic, and elective-care pressure.
Sources: OECD wait-time reporting, WHO health-system context, national public waiting-list releases where available, and comparable access-pressure categories. The band is a guide, not a promise for a specific procedure.
| # | Country | Care Access Speed | Access note |
|---|---|---|---|
| 1 | 🇨🇠Switzerland | Very fast | Very short waits for covered residents |
| 2 | 🇩🇪 Germany | Very fast | Comparatively short OECD access profile supported by high bed capacity |
| 3 | 🇦🇪 UAE | Very fast | Very rapid access for insured residents and expats; coverage terms matter |
| 4 | 🇱🇺 Luxembourg | Fast | Generally short specialist and elective waits |
| 5 | 🇸🇬 Singapore | Fast | Rapid throughput across public-private pathways; access remains plan- and provider-dependent |
| 6 | 🇯🇵 Japan | Fast | Minimal friction for specialist consultations; waits remain procedure- and region-dependent |
| 7 | 🇳🇱 Netherlands | Fast | Strong same-day primary care access; elective waits remain procedure-dependent |
| 8 | 🇸🇪 Sweden | Fast | Moderate elective waits, often below severe-backlog peers |
| 9 | 🇶🇦 Qatar | Fast | Generally fast hospital access for eligible and insured groups; coverage terms matter |
| 10 | 🇦🇹 Austria | Fast | Dense hospital network and SHI funding support fast access; some elective specialties see moderate queues. |
| 11 | 🇩🇰 Denmark | Fast | Shorter-than-average elective access |
| 12 | 🇫🇷 France | Fast | Generally stable waits below major OECD outliers |
| 13 | 🇮🇹 Italy | Fast | Regional variation; many procedures compare well |
| 14 | 🇨🇿 Czechia | Fast | Generally low waits within statutory system |
| 15 | 🇸🇦 Saudi Arabia | Fast | Mandatory insurance plus rapid build‑out of hospitals keeps routine and elective waits relatively short in major cities. |
| 16 | 🇧🇪 Belgium | Fast | Low-to-moderate waits with dense provider access |
| 17 | 🇹🇼 Taiwan | Fast | Very short waits for primary and specialist care under NHI, with dense clinic networks and walk‑in access. |
| 18 | 🇰🇷 South Korea | Fast | Fast specialist access with high private cost exposure |
| 19 | 🇹🇷 Turkey | Fast | Social insurance model with generally quick access, though regional variation and some pressure on public hospitals. |
| 20 | 🇲🇾 Malaysia | Fast | Fast access in private hospitals; public sector generally manageable but slower for some elective procedures. |
| 21 | 🇺🇸 United States | Fast | Fast if well insured; fragmented if underinsured |
| 22 | 🇵🇦 Panama | Fast | Public system slower; insured expats and locals rely on private hospitals for short elective waits. |
| 23 | 🇳🇴 Norway | Moderate | Primary access strong; elective backlog risk |
| 24 | 🇮🇸 Iceland | Moderate | Remote-area constraints; elective waits can build |
| 25 | 🇸🇮 Slovenia | Moderate | Moderate waits; pressure varies by specialty |
| 26 | 🇮🇱 Israel | Moderate | Moderate waits; emergency pathways are strong |
| 27 | 🇪🇸 Spain | Moderate | Moderate public elective waits with regional variation |
| 28 | 🇲🇹 Malta | Moderate | Strong public hospital with predictable access; private sector commonly used to avoid non‑urgent delays. |
| 29 | 🇳🇿 New Zealand | Moderate | High same-day GP access; public elective surgery can face notable queues, private cover often used for speed. |
| 30 | 🇨🇾 Cyprus | Moderate | GeSY has broadened access; elective waits exist in public hospitals, with private care used as a safety valve. |
| 31 | 🇹🇠Thailand | Moderate | Universal tax‑funded cover; public elective waits exist but private hospitals provide fast access at modest cost. |
| 32 | 🇵🇱 Poland | Moderate | Moderate waits, especially for specialist pathways |
| 33 | 🇺🇾 Uruguay | Moderate | Mutualista model offers good specialist access; elective waits are present but moderate for most procedures. |
| 34 | 🇨🇷 Costa Rica | Moderate | Caja system gives broad access but rising queues for elective care; private clinics used to bypass delays. |
| 35 | 🇨🇴 Colombia | Moderate | Moderate waits; access quality varies by network |
| 36 | 🇲🇽 Mexico | Moderate | Highly variable by provider and ability to self-pay |
| 37 | 🇮🇪 Ireland | Slow | Elective care commonly delayed despite access reforms |
| 38 | ðŸ‡ðŸ‡° Hong Kong | Slow | Public hospitals have long elective queues; private sector offers rapid access for those insured or self‑paying. |
| 39 | 🇦🇺 Australia | Slow | Elective public surgery waits often lengthy; private cover used by many for faster elective care. |
| 40 | 🇫🇮 Finland | Slow | Primary and specialist waits are a known pressure point |
| 41 | 🇬🇧 United Kingdom | Slow | High NHS backlog pressure for elective care |
| 42 | 🇪🇪 Estonia | Slow | E-health driven system with good primary access, but growing elective surgery waits in the public sector. |
| 43 | 🇬🇷 Greece | Slow | Public ESY system under strain with long specialist and elective waits; private hospitals standard for speed. |
| 44 | 🇵🇹 Portugal | Slow | Public waits can be long; private access faster |
| 45 | 🇦🇷 Argentina | Slow | Public hospitals can be crowded with long elective waits; union and private plans significantly improve speed. |
| 46 | 🇵🇪 Peru | Slow | Public SIS and EsSalud face capacity constraints, leading to long waits outside major private hospital networks. |
| 47 | 🇧🇷 Brazil | Slow | SUS public system has long elective waits; middle class relies on private plans for timely specialist care. |
| 48 | 🇨🇦 Canada | Very slow | Long elective waits by high-income country standards |
| 49 | 🇨🇱 Chile | Very slow | Severe public elective wait pressure |
Sources behind this table
OECD wait-time datasets are the principal comparison source for countries where procedure-level medians are published. WHO and national health-system releases help compare countries where elective-wait medians are incomplete or where access depends heavily on private insurance status.
Avoidable mortality estimates deaths that should be preventable or treatable through timely, effective healthcare and public-health policy. Lower is better. It is useful because it cuts through branding: a country may spend heavily, but if people still die from treatable or preventable causes at high rates, the system is not fully protecting residents.
Mortality is part of the system-effectiveness score, but it is shown separately because it is one of the clearest indicators of whether wealth translates into survival.
| # | Country | Avoidable mortality | Interpretation |
|---|---|---|---|
| 1 | 🇦🇪 UAE | 112 per 100k | Strong survival profile |
| 2 | 🇨🇠Switzerland | 114 per 100k | Strong survival profile |
| 3 | 🇶🇦 Qatar | 120 per 100k | Strong survival profile |
| 4 | ðŸ‡ðŸ‡° Hong Kong | 120 per 100k | Strong survival profile |
| 5 | 🇱🇺 Luxembourg | 123 per 100k | Strong survival profile |
| 6 | 🇳🇴 Norway | 133 per 100k | Strong survival profile |
| 7 | 🇸🇪 Sweden | 133 per 100k | Strong survival profile |
| 8 | 🇮🇱 Israel | 134 per 100k | Strong survival profile |
| 9 | 🇯🇵 Japan | 135 per 100k | Strong survival profile |
| 10 | 🇸🇦 Saudi Arabia | 140 per 100k | Strong survival profile |
| 11 | 🇪🇸 Spain | 142 per 100k | Strong survival profile |
| 12 | 🇮🇹 Italy | 145 per 100k | Strong survival profile |
| 13 | 🇹🇼 Taiwan | 145 per 100k | Strong survival profile |
| 14 | 🇦🇺 Australia | 146 per 100k | Strong survival profile |
| 15 | 🇳🇱 Netherlands | 149 per 100k | Strong survival profile |
| 16 | 🇮🇸 Iceland | 150 per 100k | Strong survival profile |
| 17 | 🇸🇬 Singapore | 151 per 100k | Moderate risk |
| 18 | 🇰🇷 South Korea | 151 per 100k | Moderate risk |
| 19 | 🇦🇹 Austria | 155 per 100k | Moderate risk |
| 20 | 🇨🇾 Cyprus | 155 per 100k | Moderate risk |
| 21 | 🇳🇿 New Zealand | 160 per 100k | Moderate risk |
| 22 | 🇹🇷 Turkey | 160 per 100k | Moderate risk |
| 23 | 🇫🇷 France | 162 per 100k | Moderate risk |
| 24 | 🇲🇹 Malta | 165 per 100k | Moderate risk |
| 25 | 🇮🇪 Ireland | 166 per 100k | Moderate risk |
| 26 | 🇬🇷 Greece | 170 per 100k | Moderate risk |
| 27 | 🇩🇰 Denmark | 175 per 100k | Moderate risk |
| 28 | 🇵🇹 Portugal | 180 per 100k | Moderate risk |
| 29 | 🇧🇪 Belgium | 184 per 100k | Moderate risk |
| 30 | 🇨🇦 Canada | 184 per 100k | Moderate risk |
| 31 | 🇲🇾 Malaysia | 185 per 100k | Moderate risk |
| 32 | 🇸🇮 Slovenia | 187 per 100k | Moderate risk |
| 33 | 🇨🇷 Costa Rica | 190 per 100k | Moderate risk |
| 34 | 🇫🇮 Finland | 191 per 100k | Moderate risk |
| 35 | 🇩🇪 Germany | 195 per 100k | Moderate risk |
| 36 | 🇦🇷 Argentina | 205 per 100k | Moderate risk |
| 37 | 🇵🇦 Panama | 210 per 100k | Moderate risk |
| 38 | 🇵🇪 Peru | 210 per 100k | Moderate risk |
| 39 | 🇹🇠Thailand | 215 per 100k | Moderate risk |
| 40 | 🇪🇪 Estonia | 220 per 100k | Moderate risk |
| 41 | 🇬🇧 United Kingdom | 227 per 100k | High mortality pressure |
| 42 | 🇨🇿 Czechia | 229 per 100k | High mortality pressure |
| 43 | 🇨🇱 Chile | 229 per 100k | High mortality pressure |
| 44 | 🇺🇾 Uruguay | 230 per 100k | High mortality pressure |
| 45 | 🇧🇷 Brazil | 240 per 100k | High mortality pressure |
| 46 | 🇺🇸 United States | 312 per 100k | High mortality pressure |
| 47 | 🇵🇱 Poland | 316 per 100k | High mortality pressure |
| 48 | 🇲🇽 Mexico | 418 per 100k | High mortality pressure |
| 49 | 🇨🇴 Colombia | 419 per 100k | High mortality pressure |
Lower avoidable mortality in this view
UAE (112), Switzerland (114), Qatar (120), Hong Kong (120), Luxembourg (123).
Greater avoidable mortality pressure in this view
Colombia (419), Mexico (418), Poland (316), United States (312), Brazil (240).
Sources behind this table
Avoidable mortality values are drawn primarily from OECD Health at a Glance 2025, using preventable and treatable mortality rates per 100,000. WHO Global Health Observatory and UNDP health indicators provide supporting health-outcome context where needed.
Crime is a broad concept, so this table uses intentional homicide as the comparable safety marker. To reduce the effect of one exceptional year, the rate is averaged across the available 2017-2022 observations for each country.
This does not capture burglary, fraud, assault, or perceived safety. It is a hard safety signal: lower average rates generally indicate a lower risk of fatal violence over time.
1 provisional country rows are awaiting multi-year homicide averages and are not shown in this table yet.
| # | Country | Avg. homicide rate | Years used | Safety reading |
|---|---|---|---|---|
| 1 | 🇸🇬 Singapore | 0.163 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Very low homicide rate |
| 2 | 🇯🇵 Japan | 0.244 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Very low homicide rate |
| 3 | 🇶🇦 Qatar | 0.336 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Very low homicide rate |
| 4 | ðŸ‡ðŸ‡° Hong Kong | 0.381 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Very low homicide rate |
| 5 | 🇨🇠Switzerland | 0.527 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Low homicide rate |
| 6 | 🇳🇴 Norway | 0.531 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Low homicide rate |
| 7 | 🇮🇹 Italy | 0.545 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Low homicide rate |
| 8 | 🇰🇷 South Korea | 0.553 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Low homicide rate |
| 9 | 🇸🇮 Slovenia | 0.599 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Low homicide rate |
| 10 | 🇦🇪 UAE | 0.628 per 100k | 2019, 2020, 2021, 2022 | Low homicide rate |
| 11 | 🇪🇸 Spain | 0.658 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Low homicide rate |
| 12 | 🇱🇺 Luxembourg | 0.684 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Low homicide rate |
| 13 | 🇮🇪 Ireland | 0.690 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Low homicide rate |
| 14 | 🇨🇿 Czechia | 0.696 per 100k | 2017, 2019, 2020, 2021, 2022 | Low homicide rate |
| 15 | 🇳🇱 Netherlands | 0.707 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Low homicide rate |
| 16 | 🇵🇱 Poland | 0.707 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Low homicide rate |
| 17 | 🇵🇹 Portugal | 0.753 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Low homicide rate |
| 18 | 🇮🇸 Iceland | 0.825 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Low homicide rate |
| 19 | 🇦🇹 Austria | 0.827 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Low homicide rate |
| 20 | 🇸🇦 Saudi Arabia | 0.836 per 100k | 2018, 2019 | Low homicide rate |
| 21 | 🇦🇺 Australia | 0.841 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Low homicide rate |
| 22 | 🇬🇷 Greece | 0.857 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Low homicide rate |
| 23 | 🇲🇾 Malaysia | 0.871 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Low homicide rate |
| 24 | 🇩🇪 Germany | 0.875 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Low homicide rate |
| 25 | 🇩🇰 Denmark | 0.922 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Low homicide rate |
| 26 | 🇨🇾 Cyprus | 0.979 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Low homicide rate |
| 27 | 🇧🇪 Belgium | 1.080 per 100k | 2021 | Low homicide rate |
| 28 | 🇬🇧 United Kingdom | 1.096 per 100k | 2017, 2018, 2019, 2020, 2021 | Low homicide rate |
| 29 | 🇸🇪 Sweden | 1.109 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Low homicide rate |
| 30 | 🇫🇷 France | 1.116 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Low homicide rate |
| 31 | 🇳🇿 New Zealand | 1.296 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Low homicide rate |
| 32 | 🇲🇹 Malta | 1.302 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Low homicide rate |
| 33 | 🇫🇮 Finland | 1.426 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Low homicide rate |
| 34 | 🇮🇱 Israel | 1.659 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Elevated homicide rate |
| 35 | 🇨🇦 Canada | 1.961 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Elevated homicide rate |
| 36 | 🇪🇪 Estonia | 2.145 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Elevated homicide rate |
| 37 | 🇹🇠Thailand | 2.580 per 100k | 2017 | Elevated homicide rate |
| 38 | 🇹🇷 Turkey | 2.604 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Elevated homicide rate |
| 39 | 🇦🇷 Argentina | 4.998 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | Elevated homicide rate |
| 40 | 🇨🇱 Chile | 5.099 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | High homicide risk |
| 41 | 🇺🇸 United States | 5.779 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | High homicide risk |
| 42 | 🇵🇪 Peru | 7.475 per 100k | 2017, 2018, 2019, 2020, 2021 | High homicide risk |
| 43 | 🇺🇾 Uruguay | 10.448 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | High homicide risk |
| 44 | 🇵🇦 Panama | 10.970 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | High homicide risk |
| 45 | 🇨🇷 Costa Rica | 11.864 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | High homicide risk |
| 46 | 🇧🇷 Brazil | 23.661 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | High homicide risk |
| 47 | 🇨🇴 Colombia | 24.324 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | High homicide risk |
| 48 | 🇲🇽 Mexico | 27.908 per 100k | 2017, 2018, 2019, 2020, 2021, 2022 | High homicide risk |
Lower average homicide rates in this view
Singapore (0.163), Japan (0.244), Qatar (0.336), Hong Kong (0.381), Switzerland (0.527).
Greater average homicide-rate pressure in this view
Mexico (27.908), Colombia (24.324), Brazil (23.661), Costa Rica (11.864), Panama (10.970).
Sources behind this table
Intentional homicide rates use the World Bank / UNODC series VC.IHR.PSRC.P5. The table averages available non-null observations from 2017-2022 to reduce single-year volatility; Thailand uses the available 2017 value, and Taiwan is excluded from this table because no official 2017-2022 value is available.
Environmental conditions matter because clean air, heat exposure, flood risk, wildfire risk, and climate adaptation all affect long-term health security. Higher scores are better.
The air quality score reflects normalized PM2.5 exposure. The climate-risk score reflects country-level exposure and adaptation capacity. These figures are national planning indicators, not forecasts for a specific town, home, or insurance policy.
| # | Country | Air quality | Climate resilience | Planetary Resilience Score | Reading |
|---|---|---|---|---|---|
| 1 | 🇮🇸 Iceland | 98.2 | 94.0 | 96 | Lower environmental pressure |
| 2 | 🇳🇴 Norway | 94.6 | 88.5 | 92 | Lower environmental pressure |
| 3 | 🇫🇮 Finland | 97.4 | 84.1 | 91 | Lower environmental pressure |
| 4 | 🇨🇠Switzerland | 89.5 | 91.2 | 90 | Lower environmental pressure |
| 5 | 🇸🇪 Sweden | 91.1 | 84.9 | 88 | Lower environmental pressure |
| 6 | 🇪🇪 Estonia | 92.4 | 84.5 | 88 | Lower environmental pressure |
| 7 | 🇱🇺 Luxembourg | 87.5 | 86.0 | 87 | Moderate environmental pressure |
| 8 | 🇩🇰 Denmark | 88.9 | 85.5 | 87 | Moderate environmental pressure |
| 9 | 🇳🇱 Netherlands | 84.4 | 87.1 | 86 | Moderate environmental pressure |
| 10 | 🇦🇹 Austria | 85.2 | 86.8 | 86 | Moderate environmental pressure |
| 11 | 🇳🇿 New Zealand | 95.8 | 75.4 | 86 | Moderate environmental pressure |
| 12 | 🇯🇵 Japan | 86.2 | 84.3 | 85 | Moderate environmental pressure |
| 13 | 🇮🇪 Ireland | 88.0 | 82.3 | 85 | Moderate environmental pressure |
| 14 | 🇫🇷 France | 84.1 | 83.5 | 84 | Moderate environmental pressure |
| 15 | 🇩🇪 Germany | 82.5 | 85.2 | 84 | Moderate environmental pressure |
| 16 | 🇦🇺 Australia | 92.5 | 74.2 | 83 | Moderate environmental pressure |
| 17 | 🇲🇹 Malta | 84.1 | 81.5 | 83 | Moderate environmental pressure |
| 18 | 🇬🇧 United Kingdom | 85.1 | 81.5 | 83 | Moderate environmental pressure |
| 19 | 🇸🇮 Slovenia | 81.5 | 83.0 | 82 | Moderate environmental pressure |
| 20 | 🇧🇪 Belgium | 79.4 | 84.8 | 82 | Moderate environmental pressure |
| 21 | 🇺🇾 Uruguay | 89.2 | 74.8 | 82 | Moderate environmental pressure |
| 22 | 🇸🇬 Singapore | 81.4 | 80.2 | 81 | Moderate environmental pressure |
| 23 | 🇨🇦 Canada | 90.1 | 72.5 | 81 | Moderate environmental pressure |
| 24 | 🇵🇹 Portugal | 86.4 | 76.1 | 81 | Moderate environmental pressure |
| 25 | ðŸ‡ðŸ‡° Hong Kong | 78.5 | 81.0 | 80 | Moderate environmental pressure |
| 26 | 🇮🇱 Israel | 79.9 | 78.2 | 79 | Moderate environmental pressure |
| 27 | 🇺🇸 United States | 86.2 | 71.5 | 79 | Moderate environmental pressure |
| 28 | 🇨🇾 Cyprus | 76.5 | 78.9 | 78 | Moderate environmental pressure |
| 29 | 🇮🇹 Italy | 75.4 | 78.0 | 77 | Higher environmental pressure |
| 30 | 🇪🇸 Spain | 80.2 | 73.1 | 77 | Higher environmental pressure |
| 31 | 🇨🇿 Czechia | 71.2 | 82.1 | 77 | Higher environmental pressure |
| 32 | 🇨🇷 Costa Rica | 91.1 | 63.5 | 77 | Higher environmental pressure |
| 33 | 🇹🇼 Taiwan | 72.4 | 78.5 | 75 | Higher environmental pressure |
| 34 | 🇵🇱 Poland | 68.5 | 81.2 | 75 | Higher environmental pressure |
| 35 | 🇦🇷 Argentina | 82.1 | 66.7 | 74 | Higher environmental pressure |
| 36 | 🇵🇦 Panama | 84.7 | 60.9 | 73 | Higher environmental pressure |
| 37 | 🇬🇷 Greece | 72.5 | 71.1 | 72 | Higher environmental pressure |
| 38 | 🇰🇷 South Korea | 61.2 | 80.5 | 71 | Higher environmental pressure |
| 39 | 🇨🇴 Colombia | 76.4 | 64.2 | 70 | Higher environmental pressure |
| 40 | 🇧🇷 Brazil | 78.2 | 61.4 | 70 | Higher environmental pressure |
| 41 | 🇲🇽 Mexico | 72.1 | 66.8 | 69 | Higher environmental pressure |
| 42 | 🇨🇱 Chile | 64.1 | 68.5 | 66 | Higher environmental pressure |
| 43 | 🇹🇷 Turkey | 62.8 | 64.5 | 64 | Higher environmental pressure |
| 44 | 🇲🇾 Malaysia | 65.4 | 62.1 | 64 | Higher environmental pressure |
| 45 | 🇹🇠Thailand | 54.2 | 58.7 | 56 | Higher environmental pressure |
| 46 | 🇵🇪 Peru | 51.5 | 59.2 | 55 | Higher environmental pressure |
| 47 | 🇶🇦 Qatar | 41.2 | 65.5 | 53 | Higher environmental pressure |
| 48 | 🇦🇪 UAE | 38.5 | 62.1 | 50 | Higher environmental pressure |
| 49 | 🇸🇦 Saudi Arabia | 35.1 | 61.2 | 48 | Higher environmental pressure |
Lower environmental pressure in this view
Iceland (96), Norway (92), Finland (91), Switzerland (90), Sweden (88).
Higher environmental pressure in this view
Saudi Arabia (48), UAE (50), Qatar (53), Peru (55), Thailand (56).
Sources behind this table
Air quality uses WHO Ambient Air Quality Database V6.1 and normalized PM2.5 exposure. Climate resilience uses Germanwatch Global Climate Risk Index context and country-level adaptation indicators. Local property-level climate and air-quality assessment should be checked separately before relocation or purchase decisions.
Out-of-pocket risk means the share of healthcare costs households pay directly rather than through taxation, social insurance, or private cover. A low out-of-pocket score means a country is better at absorbing medical shocks before they hit a household budget. A high out-of-pocket score means residents may still face meaningful bills even when the country is wealthy.
This is why the index separates bank-balance wealth from real protection. A rich country can still rank poorly if residents face long waits, uneven coverage, or large direct medical costs.
Greater direct-cost exposure in this view
🇨🇱
Chile
🇰🇷
South Korea
🇨ðŸ‡
Switzerland
Regional views use the same global dataset while making country comparisons easier to read.
Northern and Western Europe dominate the top tier, but backlogs create meaningful differences between wealthy systems.
Leader: Netherlands #1 globally
Open regional pageThis regional view compares East Asian, Australasian, and medical-tourism systems, bringing together longevity, prevention-led resilience, care throughput, and air-quality variation.
Leader: Japan #2 globally
Open regional pageCanada, the United States, Mexico, Chile, Colombia, Uruguay, Costa Rica, Panama, Brazil, Argentina, and Peru show a wide gap between national wealth, direct household cost exposure, homicide risk, and avoidable mortality.
Leader: Canada #18 globally
Open regional pageQatar, the UAE, Saudi Arabia, Israel, and Turkey combine very different models of civil safety, insured access speed, and environmental resilience.
Leader: Saudi Arabia #31 globally
Open regional pageA comparative view of elite performers within their respective geographic peer groups.
Global Safety Index 2026: Regional Safety RankingsHealth outcomes depend partly on system design. This table explains whether coverage is broadly universal, whether private medical insurance is structurally required, and where direct household cost risk remains elevated.
| # | Country | System model | Coverage | Private cover | Household Cost Exposure | Healthy years |
|---|---|---|---|---|---|---|
| 1 | 🇦🇷 Argentina | SNS-style mix of public system, obras sociales (union funds), and private insurers/hospitals. | Universal or near-universal | Optional; recommended for expats | 3.2% | 16 |
| 2 | 🇦🇺 Australia | Beveridge-style with private option | Universal or near-universal | Optional; recommended for expats | 3.1% | 19.4 |
| 3 | 🇦🇹 Austria | Bismarck-style social health insurance with mandatory funds and public/non-profit providers. | Universal or near-universal | Required / structurally necessary | 2.1% | 17.5 |
| 4 | 🇧🇪 Belgium | Bismarck / compulsory health insurance | Universal or near-universal | Optional; recommended for expats | 4.3% | 18.2 |
| 5 | 🇧🇷 Brazil | SUS (tax-funded universal system) plus a large regulated private insurance and hospital sector. | Universal or near-universal | Optional; recommended for expats | 4.5% | 14.5 |
| 6 | 🇨🇦 Canada | Single-payer provincial Medicare | Universal or near-universal | Optional; recommended for expats | 3% | 18.2 |
| 7 | 🇨🇱 Chile | Mixed public-private insurance | Universal or near-universal | Optional; recommended for expats | 5.9% | 16.6 |
| 8 | 🇨🇴 Colombia | Mandatory social health insurance | Universal or near-universal | Optional; recommended for expats | 1.6% | 18.5 |
| 9 | 🇨🇷 Costa Rica | Caja Costarricense (social insurance) single-payer with near-universal coverage. | Universal or near-universal | Optional; recommended for expats | 2.9% | 17.2 |
| 10 | 🇨🇾 Cyprus | GeSY single-payer scheme funded by payroll and general taxation. | Universal or near-universal | Optional; recommended for expats | 2.6% | 17.5 |
| 11 | 🇨🇿 Czechia | Bismarck / statutory insurance | Universal or near-universal | Optional; recommended for expats | 1.5% | 16.4 |
| 12 | 🇩🇰 Denmark | Beveridge-style public system | Universal or near-universal | Optional; recommended for expats | 2.6% | 18.2 |
| 13 | 🇪🇪 Estonia | Bismarck-style Health Insurance Fund with digital-first primary and specialist care. | Universal or near-universal | Required / structurally necessary | 1.8% | 15.5 |
| 14 | 🇫🇮 Finland | Beveridge-style public system | Universal or near-universal | Optional; recommended for expats | 2.7% | 17.6 |
| 15 | 🇫🇷 France | Bismarck / social insurance | Universal or near-universal | Optional; recommended for expats | 2% | 17.9 |
| 16 | 🇩🇪 Germany | Bismarck / statutory insurance | Universal or near-universal | Required / structurally necessary | 2.5% | 17.6 |
| 17 | 🇬🇷 Greece | ESY mixed model: tax-funded public hospitals plus social insurance and private sector. | Universal or near-universal | Optional; recommended for expats | 3.5% | 17 |
| 18 | ðŸ‡ðŸ‡° Hong Kong | Mixed public–private system; tax-funded Hospital Authority plus large private hospital sector. | Universal or near-universal | Required / structurally necessary | 3.8% | 20.2 |
| 19 | 🇮🇸 Iceland | Beveridge-style public system | Universal or near-universal | Optional; recommended for expats | 2.5% | 19.5 |
| 20 | 🇮🇪 Ireland | Mixed public-private system | Universal or near-universal | Optional; recommended for expats | 3.1% | 18.1 |
| 21 | 🇮🇱 Israel | Bismarck / national health insurance | Universal or near-universal | Optional; recommended for expats | 2.7% | 19.5 |
| 22 | 🇮🇹 Italy | Beveridge-style public system | Universal or near-universal | Optional; recommended for expats | 3.2% | 19.2 |
| 23 | 🇯🇵 Japan | Bismarck / social insurance | Universal or near-universal | Optional; recommended for expats | 2.6% | 21.5 |
| 24 | 🇱🇺 Luxembourg | Bismarck / social insurance | Universal or near-universal | Optional; recommended for expats | 1.4% | 18.3 |
| 25 | 🇲🇾 Malaysia | Tax-funded public system plus large private hospital sector (two-tier mixed model). | Universal or near-universal | Optional; recommended for expats | 3.5% | 14.8 |
| 26 | 🇲🇹 Malta | Beveridge-style NHS with comprehensive tax-funded coverage and optional private insurance. | Universal or near-universal | Optional; recommended for expats | 2.7% | 18 |
| 27 | 🇲🇽 Mexico | Mixed / fragmented universal coverage | Partial / fragmented | Optional; recommended for expats | 4% | 16.8 |
| 28 | 🇳🇱 Netherlands | Bismarck / regulated social insurance | Universal or near-universal | Required / structurally necessary | 2.2% | 18.5 |
| 29 | 🇳🇿 New Zealand | Beveridge-style tax-funded system with strong primary care and DHB/Te Whatu Ora hospitals. | Universal or near-universal | Optional; recommended for expats | 2.8% | 18.2 |
| 30 | 🇳🇴 Norway | Beveridge-style public system | Universal or near-universal | Optional; recommended for expats | 2% | 18.8 |
| 31 | 🇵🇦 Panama | Mixed public–private system; social security and Ministry of Health plus significant private tier. | Universal or near-universal | Required / structurally necessary | 3.1% | 15.8 |
| 32 | 🇵🇪 Peru | Fragmented mixed system (SIS, EsSalud, private) with formal UHC goals but uneven coverage. | Universal or near-universal | Optional; recommended for expats | 4.2% | 15.2 |
| 33 | 🇵🇱 Poland | Bismarck / national health fund | Universal or near-universal | Optional; recommended for expats | 1.8% | 13.5 |
| 34 | 🇵🇹 Portugal | Beveridge-style public system | Universal or near-universal | Optional; recommended for expats | 4.4% | 17.4 |
| 35 | 🇶🇦 Qatar | State-funded with mandatory visitor/resident cover | Partial / fragmented | Required / structurally necessary | 1.8% | 16.9 |
| 36 | 🇸🇦 Saudi Arabia | Mandatory health insurance model with state and private providers, expanding public coverage. | Partial / fragmented | Required / structurally necessary | 2.1% | 15.5 |
| 37 | 🇸🇬 Singapore | Mixed mandatory savings + public support | Universal or near-universal | Optional; recommended for expats | 4.1% | 19.4 |
| 38 | 🇸🇮 Slovenia | Bismarck / compulsory social insurance | Universal or near-universal | Optional; recommended for expats | 1.6% | 18.1 |
| 39 | 🇰🇷 South Korea | National Health Insurance | Universal or near-universal | Optional; recommended for expats | 5.5% | 18.4 |
| 40 | 🇪🇸 Spain | Beveridge-style public system | Universal or near-universal | Optional; recommended for expats | 3.3% | 20.1 |
| 41 | 🇸🇪 Sweden | Beveridge-style public system | Universal or near-universal | Optional; recommended for expats | 2.8% | 18.4 |
| 42 | 🇨🇠Switzerland | Regulated mandatory private insurance | Universal or near-universal | Required / structurally necessary | 5.3% | 19.3 |
| 43 | 🇹🇼 Taiwan | National Health Insurance (single-payer) with compulsory enrolment and fee-for-service providers. | Universal or near-universal | Optional; recommended for expats | 5.1% | 18 |
| 44 | 🇹🇠Thailand | Universal Coverage Scheme (tax-based) alongside social security and civil servant schemes. | Universal or near-universal | Optional; recommended for expats | 2% | 15 |
| 45 | 🇹🇷 Turkey | General Health Insurance (GHI) with mandatory social insurance and mixed public–private provision. | Universal or near-universal | Required / structurally necessary | 3.2% | 15 |
| 46 | 🇦🇪 UAE | Mixed, private insurance required for many residents | Partial / fragmented | Required / structurally necessary | 2.1% | 17.2 |
| 47 | 🇬🇧 United Kingdom | Beveridge-style NHS | Universal or near-universal | Optional; recommended for expats | 2.6% | 16.9 |
| 48 | 🇺🇸 United States | Mixed public-private, not universal | Partial / fragmented | Required / structurally necessary | 2.7% | 15.2 |
| 49 | 🇺🇾 Uruguay | Mutualista / FONASA mixed system combining public providers and not-for-profit sickness funds. | Universal or near-universal | Optional; recommended for expats | 2.4% | 16.5 |
Sources behind this table
Health-system model and coverage classifications use WHO Global Health Observatory context, OECD Health at a Glance system notes, national health-system documentation, WHO National Health Accounts, and WHO / World Bank financial-protection indicators for direct household cost exposure.
Estimate international private medical insurance costs before you choose a destination or rely on a local public system.
Citizenship matters for long-term relocation planning, but it is not a health-system outcome. The figures below show typical non-marriage naturalisation routes and whether second citizenship is normally allowed.
| # | Country | Dual citizenship | Typical naturalisation period | Settlement note |
|---|---|---|---|---|
| 1 | 🇦🇷 Argentina | Normally allowed | 2 years | Second citizenship is normally allowed; standard naturalisation is typically 2 years. |
| 2 | 🇦🇺 Australia | Normally allowed | 4 years | Second citizenship is normally allowed; standard naturalisation is typically 4 years. |
| 3 | 🇦🇹 Austria | Restricted | 10 years | Second citizenship is restricted or conditional; check renunciation rules before planning a 10 year route. |
| 4 | 🇧🇪 Belgium | Normally allowed | 5 years | Second citizenship is normally allowed; standard naturalisation is typically 5 years. |
| 5 | 🇧🇷 Brazil | Normally allowed | 4 years | Second citizenship is normally allowed; standard naturalisation is typically 4 years. |
| 6 | 🇨🇦 Canada | Normally allowed | 3 years | Second citizenship is normally allowed; standard naturalisation is typically 3 years. |
| 7 | 🇨🇱 Chile | Normally allowed | 5 years | Second citizenship is normally allowed; standard naturalisation is typically 5 years. |
| 8 | 🇨🇴 Colombia | Normally allowed | 5 years | Second citizenship is normally allowed; standard naturalisation is typically 5 years. |
| 9 | 🇨🇷 Costa Rica | Normally allowed | 7 years | Second citizenship is normally allowed; standard naturalisation is typically 7 years. |
| 10 | 🇨🇾 Cyprus | Normally allowed | 7 years | Second citizenship is normally allowed; standard naturalisation is typically 7 years. |
| 11 | 🇨🇿 Czechia | Normally allowed | 10 years | Second citizenship is normally allowed; standard naturalisation is typically 10 years. |
| 12 | 🇩🇰 Denmark | Normally allowed | 9 years | Second citizenship is normally allowed; standard naturalisation is typically 9 years. |
| 13 | 🇪🇪 Estonia | Restricted | 8 years | Second citizenship is restricted or conditional; check renunciation rules before planning a 8 year route. |
| 14 | 🇫🇮 Finland | Normally allowed | 5 years | Second citizenship is normally allowed; standard naturalisation is typically 5 years. |
| 15 | 🇫🇷 France | Normally allowed | 5 years | Second citizenship is normally allowed; standard naturalisation is typically 5 years. |
| 16 | 🇩🇪 Germany | Normally allowed | 5 years | Second citizenship is normally allowed; standard naturalisation is typically 5 years. |
| 17 | 🇬🇷 Greece | Normally allowed | 7 years | Second citizenship is normally allowed; standard naturalisation is typically 7 years. |
| 18 | ðŸ‡ðŸ‡° Hong Kong | Restricted | 7 years | Second citizenship is restricted or conditional; check renunciation rules before planning a 7 year route. |
| 19 | 🇮🇸 Iceland | Normally allowed | 7 years | Second citizenship is normally allowed; standard naturalisation is typically 7 years. |
| 20 | 🇮🇪 Ireland | Normally allowed | 5 years | Second citizenship is normally allowed; standard naturalisation is typically 5 years. |
| 21 | 🇮🇱 Israel | Normally allowed | 3 years | Second citizenship is normally allowed; standard naturalisation is typically 3 years. |
| 22 | 🇮🇹 Italy | Normally allowed | 10 years | Second citizenship is normally allowed; standard naturalisation is typically 10 years. |
| 23 | 🇯🇵 Japan | Restricted | 5 years | Second citizenship is restricted or conditional; check renunciation rules before planning a 5 year route. |
| 24 | 🇱🇺 Luxembourg | Normally allowed | 5 years | Second citizenship is normally allowed; standard naturalisation is typically 5 years. |
| 25 | 🇲🇾 Malaysia | Restricted | 10 years | Second citizenship is restricted or conditional; check renunciation rules before planning a 10 year route. |
| 26 | 🇲🇹 Malta | Normally allowed | 5 years | Second citizenship is normally allowed; standard naturalisation is typically 5 years. |
| 27 | 🇲🇽 Mexico | Normally allowed | 5 years | Second citizenship is normally allowed; standard naturalisation is typically 5 years. |
| 28 | 🇳🇱 Netherlands | Restricted | 5 years | Second citizenship is restricted or conditional; check renunciation rules before planning a 5 year route. |
| 29 | 🇳🇿 New Zealand | Normally allowed | 5 years | Second citizenship is normally allowed; standard naturalisation is typically 5 years. |
| 30 | 🇳🇴 Norway | Normally allowed | 8 years | Second citizenship is normally allowed; standard naturalisation is typically 8 years. |
| 31 | 🇵🇦 Panama | Normally allowed | 5 years | Second citizenship is normally allowed; standard naturalisation is typically 5 years. |
| 32 | 🇵🇪 Peru | Normally allowed | 2 years | Second citizenship is normally allowed; standard naturalisation is typically 2 years. |
| 33 | 🇵🇱 Poland | Normally allowed | 3 years | Second citizenship is normally allowed; standard naturalisation is typically 3 years. |
| 34 | 🇵🇹 Portugal | Normally allowed | 5 years | Second citizenship is normally allowed; standard naturalisation is typically 5 years. |
| 35 | 🇶🇦 Qatar | Restricted | 25 years | Second citizenship is restricted or conditional; check renunciation rules before planning a 25 year route. |
| 36 | 🇸🇦 Saudi Arabia | Restricted | 10 years | Second citizenship is restricted or conditional; check renunciation rules before planning a 10 year route. |
| 37 | 🇸🇬 Singapore | Restricted | 4 years | Second citizenship is restricted or conditional; check renunciation rules before planning a 4 year route. |
| 38 | 🇸🇮 Slovenia | Restricted | 10 years | Second citizenship is restricted or conditional; check renunciation rules before planning a 10 year route. |
| 39 | 🇰🇷 South Korea | Restricted | 5 years | Second citizenship is restricted or conditional; check renunciation rules before planning a 5 year route. |
| 40 | 🇪🇸 Spain | Restricted | 10 years | Second citizenship is restricted or conditional; check renunciation rules before planning a 10 year route. |
| 41 | 🇸🇪 Sweden | Normally allowed | 5 years | Second citizenship is normally allowed; standard naturalisation is typically 5 years. |
| 42 | 🇨🇠Switzerland | Normally allowed | 10 years | Second citizenship is normally allowed; standard naturalisation is typically 10 years. |
| 43 | 🇹🇼 Taiwan | Restricted | 5 years | Second citizenship is restricted or conditional; check renunciation rules before planning a 5 year route. |
| 44 | 🇹🇠Thailand | Normally allowed | 5 years | Second citizenship is normally allowed; standard naturalisation is typically 5 years. |
| 45 | 🇹🇷 Turkey | Normally allowed | 5 years | Second citizenship is normally allowed; standard naturalisation is typically 5 years. |
| 46 | 🇦🇪 UAE | Restricted | 30 years | Second citizenship is restricted or conditional; check renunciation rules before planning a 30 year route. |
| 47 | 🇬🇧 United Kingdom | Normally allowed | 5 years | Second citizenship is normally allowed; standard naturalisation is typically 5 years. |
| 48 | 🇺🇸 United States | Normally allowed | 5 years | Second citizenship is normally allowed; standard naturalisation is typically 5 years. |
| 49 | 🇺🇾 Uruguay | Normally allowed | 5 years | Second citizenship is normally allowed; standard naturalisation is typically 5 years. |
Sources behind this table
Citizenship and naturalisation fields are compiled from national immigration and citizenship rules. They are shown for relocation planning only and are not included in the Global Safety score.
The index uses health-policy and economics terms that are often used inconsistently. These definitions explain how WeCovr uses each term on this page.
Bismarck system
A social-insurance model funded mainly through mandatory insurance contributions. Residents are usually covered through statutory sickness funds or tightly regulated insurers. Germany, France, Belgium, Japan, and the Netherlands are typical examples.
Beveridge system
A tax-funded public health system where government is the main funder and often the main provider. The NHS is the best-known example. These systems can be financially protective, but capacity limits can create waits.
Single-payer system
A system where one public payer covers core medically necessary care, while providers may remain public or private. Canada is a common example.
Mixed public-private system
A system where public coverage, private insurance, and direct payment all play meaningful roles. Outcomes depend heavily on eligibility, insurance status, and ability to pay.
UHC
Universal health coverage. In this report, it means the country has broad resident coverage for essential healthcare. It does not mean every treatment is free, immediate, or equally accessible.
Private cover required
Private medical insurance is legally required, structurally mandatory, or practically necessary for many residents or expats. Even where optional, it is highly recommended for faster access and specialized protection.
Wait band
A plain-English access-speed category. It combines the available evidence on primary, specialist, diagnostic, and elective-care delays. It is not a promise for a specific hospital or procedure.
Healthy years
Healthy life expectancy indicator used here as a resilience proxy. It estimates years lived in good health, not just total life expectancy.
HDI
Human Development Index. A UNDP measure combining health, education, and income. It helps distinguish human prosperity from raw GDP.
GNI Atlas method
Gross National Income adjusted using the World Bank Atlas method. It is useful where GDP is inflated by multinational profit flows, such as Ireland and Luxembourg.
Household Cost Exposure
Out-of-pocket healthcare risk. It estimates how much direct healthcare cost can hit households after public systems, insurance, or subsidies are accounted for.
Avoidable mortality
Deaths per 100,000 that should be preventable or treatable through effective public health, prevention, early diagnosis, and timely medical care. Lower values are better.
Intentional homicide rate
Intentional homicides per 100,000 people. This report uses the available 2017-2022 average because it is more stable than a single-year reading and more consistently reported internationally than many other crime categories.
Air quality score
A normalized 0-100 score using ambient air-quality data, especially PM2.5 exposure. Higher values indicate lower air-pollution pressure at country level.
Climate-risk score
A normalized 0-100 country-level score for climate exposure and adaptation capacity. Higher values indicate lower climate pressure or stronger resilience.
Environment score
The simple average of the air quality score and climate-risk score. It is a national-level indicator, not a promise of conditions in a specific city, postcode, or property.
The WeCovr Global Safety Index 2026 compares how national wealth translates into practical resident safety. The ranking combines healthcare access, avoidable mortality, direct household health-cost exposure, crime safety, and environmental pressure.
Data may be cited with credit to the WeCovr Intelligence 2026 Global Safety Index. The working spreadsheet with raw values, normalised scores, source notes, and country-level assumptions is available on request.
The table lists the institutions and datasets behind the WeCovr Global Safety Index. Years vary where the latest official release differs by country or indicator.
| # | Source | What it informs | Notes |
|---|---|---|---|
| 1 | IMF World Economic Outlook, April 2026 | GDP per capita, purchasing power parity, and forward-looking macroeconomic context. | Economic context only; GDP is not treated as a standalone proxy for protection. |
| 2 | World Bank GNI Atlas Method | Prosperity correction for countries where GDP is distorted by multinational profit flows. | Used to reduce paper-wealth distortion in countries such as Ireland, Luxembourg, and Singapore. |
| 3 | UNDP Human Development Report 2025 | Human Development Index, life expectancy, and healthy life expectancy indicators. | Statistical Annex Table 1 is used for HDI and healthy-life-expectancy inputs. |
| 4 | OECD Health at a Glance 2025 | Avoidable mortality, waiting times, and financial-hardship benchmarks. | Avoidable mortality combines preventable and treatable mortality; Colombia's 419 per 100,000 value is an example from the OECD tables. |
| 5 | WHO Global Health Observatory | Universal Health Coverage status, healthy-life-expectancy context, and health-system indicators. | Used alongside OECD and national sources for health-system classification. |
| 6 | WHO National Health Accounts 2024 | Current Health Expenditure per capita and out-of-pocket expenditure indicators. | Used to measure direct household exposure to healthcare costs. |
| 7 | WHO / World Bank Financial Protection Database | Out-of-pocket risk and catastrophic health-spend incidence. | Supports the Wallet Shield layer and the out-of-pocket risk evidence table. |
| 8 | World Bank / UNODC series VC.IHR.PSRC.P5 | Average intentional homicide rate per 100,000 people and crime-safety comparison. | Uses available 2017-2022 observations to reduce the effect of exceptional single-year spikes. |
| 9 | Global Peace Index 2025 | Qualitative safety overlay for civil security and regional stability. | Provides broader context for regional stability narratives but is not a direct input into the quantitative Safety Score. |
| 10 | WHO Ambient Air Quality Database V6.1, 2024 | PM2.5 concentration context and air-quality score normalisation. | Supports pollution-related country comparisons in the Planet Shield layer. |
| 11 | Germanwatch Global Climate Risk Index 2026 | Extreme-weather vulnerability and national climate-risk context. | Covers broad national exposure; local property-level risk still needs separate assessment. |
| 12 | National immigration and citizenship rules | Typical non-marriage naturalisation periods and dual-citizenship planning context. | Relevant for relocation planning but separate from health-system performance. |
Safety in this report means systemic resilience: the capacity of a nation to reduce ordinary health shocks, household financial shocks, physical harm, and long-term environmental pressure for residents. It does not mean military power or geopolitical ranking.
The index pulls from primary institutional databases and cross-checks them against regional health, safety, and environmental reports. This separates what a country has on paper from how much protection a resident is likely to experience in practice.
Global Economic & Prosperity Layer
IMF WEO, World Bank GNI Atlas Method, and UNDP HDR inputs distinguish national wealth from resident welfare.
Body Shield: Health & Access
OECD Health at a Glance, WHO GHO, and WHO National Health Accounts support avoidable mortality, wait-time, UHC, and expenditure comparisons.
Wallet & Life Shields: Finance & Safety
WHO/World Bank financial-protection data, World Bank/UNODC homicide series, and Global Peace Index context support household-risk and safety comparisons.
Planet Shield: Environmental Resilience
WHO ambient air-quality data and Germanwatch climate-risk context support air-quality and climate-pressure comparisons.
The published score is a weighted geometric mean of four shields. Tax burden is not an active weight; the ranking focuses on the strength of the safety available to residents rather than how the state funds it.
This is a gross-protection model. A country can rank highly only when its health, safety, finance, and environment scores work together.
Body Shield: Health (35%)
Avoidable mortality, survival outcomes, care access speed, and healthy life expectancy.
Life Shield: Safety (30%)
Multi-year intentional homicide averages from the World Bank / UNODC.
Wallet Shield: Finance (20%)
Out-of-pocket risk, catastrophic health-spend exposure, and GNI-adjusted prosperity.
Planet Shield: Planet (15%)
PM2.5 air-quality context, climate-risk exposure, and adaptation capacity.
Raw values are converted to a common 0-100 scale before weighting. This keeps unlike measures, such as mortality rates, homicide rates, PM2.5 exposure, and out-of-pocket spending, comparable inside one index.
For risk indicators where lower is better, such as avoidable mortality or homicide, the normalised scale is reversed so a lower raw risk becomes a higher protection score.
Where a country is missing a sourced homicide average, the Safety pillar uses the panel median as a neutral placeholder and the row remains provisional until the missing source is added.
Citizenship and naturalisation rules are shown separately because they describe how difficult it is to join a country, not how well the country protects residents day to day. The relocation table therefore treats dual-citizenship treatment and naturalisation years as an integration-friction badge rather than a resilience score component.
The Americas protection gap
The United States, Mexico, Colombia, Brazil, Peru, and parts of Central America show how economic opportunity can coexist with weaker life-safety or health-access protection.
The Nordic protection cluster
Iceland, Norway, Finland, Sweden, and Denmark combine high public coverage with low direct health-cost exposure, though waiting-time pressure still varies by system.
The Gulf efficiency trade-off
Qatar, the UAE, and Saudi Arabia offer fast insured access and major hospital investment, while environmental heat, dust, and coverage rules remain important planning factors.
2026 methodological note
National savings rates are excluded because they can overstate resilience in rentier states. Ireland and Luxembourg use GNI Atlas method adjustments to reduce multinational profit distortion.