A society’s infant mortality rate is an accepted indicator of that society’s general health status. Even though in some localities in the United States the rate is higher than in many developing countries, in the United States overall the rate has been steadily declining. This decline does not necessarily indicate, however, that average, healthier at birth than they were in the past.
What this question is testing
Conclusion
The author wants to argue that even though fewer babies are dying, this does not mean babies are healthier when they are born.
Evaluate
How could fewer babies die without babies being healthier at birth? If medicine has gotten better at saving sick babies after they are born. The babies are still being born unhealthy — we just have better technology to keep them alive.
Imagine someone says, Not necessarily. Maybe heart attacks happen just as much, but emergency rooms have gotten better at treating them. The decline in deaths reflects better treatment, not better baseline health.
Goal
Find an answer pointing to better post-birth medical technology that saves unhealthy babies.
Reading along? Open the full official question in LawHub — we show a fragment here and keep the reasoning in our own words.