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The US shows a distinct health disadvantage when compared to other high-income nations. A potential lever to reduce this disadvantage is to improve the health situation of lower socioeconomic groups. Our objective is to explore how the considerable within-US variation in health inequalities compares to the health inequalities across other Western countries. Methods: Representative survey data from 44 European countries and the US federal states were obtained from the fourth wave of the Europeandoi:10.31235/osf.io/vm2zp fatcat:k6gjqexnrvdu3edjn2dygrlzge