theatlantic | Since 1998, people all over the world have been living healthier and
living longer. But middle-aged, white non-Hispanics in the United States
have been getting sicker and dying in greater numbers. The trend is
being driven primarily by people with a high-school degree or less.
That's the sobering takeaway from a paper in the Proceedings of the National Academy of Sciences published this week.
The study authors sum it up:
Between 1978 to 1998, the mortality rate for U.S. whites aged 45 to
54 fell by 2 percent per year on average, which matched the average rate
of decline in the six countries shown, and the average over all other
industrialized countries. After 1998, other rich countries’ mortality
rates continued to decline by 2 percent a year. In contrast, U.S. white
non-Hispanic mortality rose by half a percent a year. No other rich
country saw a similar turnaround.
That means “half a million people are dead who should
not be dead,” Angus Deaton, the 2015 Nobel laureate in economics and
co-author of the paper, told The Washington Post. “About 40 times the Ebola stats. You’re getting up there with HIV-AIDS.”
The
reasons for the increased death rate are not the usual things that kill
Americans, like diabetes and heart disease. Rather, it’s suicide,
alcohol and drug poisonings, and alcohol-related liver disease.
The
least-educated are worst off: All-cause mortality among middle-aged
Americans with a high-school degree or less increased by 134 deaths per
100,000 people between 1999 and 2013, but there was little change in
mortality for people with some college. The death rate for the
college-educated fell slightly.
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