Why are Americans’ lives getting shorter?

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Why are Americans’ lives getting shorter?
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Drug overdoses among adults aged 25 to 64 increased by 386.5% between 1999 and 2017 in America

TWO DATA points, it is often said, do not make a trend. Researchers studying America’s dismal life expectancy now have three. After climbing gradually over the past half century, life expectancy in America reached a plateau in 2010 and then fell for three consecutive years from 2015 to 2017, the latest for which data are available. An American baby born today can expect to live 78.6 years, on average, down from 78.9 in 2014.

The prevailing wisdom is that rising mortality in America can be blamed in large part on a handful of causes, including drug overdoses, alcohol-related illnesses and suicides. Such “deaths of despair”, the argument goes, are concentrated mainly among whites living in economically depressed regions. Indeed the authors of the paper estimate that mortality from drug overdoses among adults aged 25 to 64 increased by 386.5% between 1999 and 2017. Deaths from alcoholic liver disease jumped by 40.

Some groups have been affected more than others, however. Young people have been hit especially hard. Between 2010 and 2017, the mortality rate increased by 6% among all working-age adults . Among those aged 25 to 34, it jumped by 29% . Adults with less education have also experienced a big rise in mortality. Geography provides another clue.

Such regional disparities suggest that not all Americans are doomed to live shorter lives. Indeed life expectancies in the country’s most populous states have changed little since 2010. In coastal areas, they have improved at roughly the same rate as in Canada. Still, many of the underlying causes of higher mortality in America, such as economic distress, are likely to persist. The current trend in Americans’ life expectancy may continue for many data points to come.

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