A slowdown in mortality improvements among white Americans residing in Republican counties between 2001 and 2019 was a major factor in the rise in the disparity in resident death rates across disease categories. A recent study shows how politics and health outcomes have become more intertwined ov
In Democratic counties, death rates dropped by 22%, whereas in Republican areas, they only fell by 11%.
A recent study shows how politics and health outcomes have become more intertwined over time. From 2001 to 2019, researchers fromlooked at death rates and information on federal and state elections for all counties in the United States. The researchers discovered a “mortality gap,” or an increasing divergence in age-adjusted death rates in counties that had supported Democrats or Republicans in prior presidential and governor elections.
Overall, the team found that mortality rates in Democratic counties dropped from 850 deaths per 100,000 people to 664 , but in Republican counties, mortality rates declined from 867 to 771 . When the team analyzed by race, they found that there was little gap between the improvements in mortality rates that Black and Hispanic Americans experienced in Democratic and Republican counties.
The authors note that the widening gap in death rates may reflect the influence of politics on health policies. One of the inflection points detected in the study corresponds to the Affordable Care Act , which was passed in 2010. More Democratic states than Republican states adopted Medicaid expansion under the ACA, which expanded health insurance coverage to people with a low income.
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