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US Life Expectancy Falls Further (cnn.com)

The Centers for Disease Control and Prevention (CDC) on Thursday released data that shows life expectancy fell by one-tenth of a year, to 78.6 years (Warning: source paywalled; alternative source), pushed down by the sharpest annual increase in suicide in nearly a decade and a continued rise in deaths from opioid drugs. "Influenza, pneumonia and diabetes also factored into last year's increase," The Wall Street Journal adds. From the report: Economists and public-health experts consider life expectancy to be an important measure of a nation's prosperity. The 2017 data paint a dark picture of health and well-being in the U.S., reflecting the effects of addiction and despair, particularly among young and middle-aged adults, as well as diseases plaguing an aging population and people with lower access to health care. The U.S. has lost three-tenths of a year in life expectancy since 2014, a stunning reversal for a developed nation, and lags far behind other wealthy nations. Life expectancy is 84.1 years in Japan and 83.7 years in Switzerland, first and second in the most-recent ranking by the Organization for Economic Cooperation and Development. The U.S. ranks 29th.

White men and women fared the worst, along with black men, all of whom experienced increases in death rates. Death rates rose in particular for adults ages 25 to 44, and suicide rates are highest among people in the nation's most rural areas. On the other hand, deaths declined for black and Hispanic women, and remained the same for Hispanic men. As drug and suicide mortality has risen, deaths from heart disease, the nation's leading killer, went down only slightly, failing to offset the increases in mortality from other causes and prolonging another worrisome trend.

25 of 336 comments (clear)

  1. Consequences... by b0s0z0ku · · Score: 5, Interesting

    Long working hours, stress due to stupid societal expectations, bullying via social media, poor health care unless you have a cush job ... they all have consequences.

    1. Re:Consequences... by cheesybagel · · Score: 3, Interesting

      Leaded water pipes, pill bottles instead of blister packs, lack of regular steady jobs that allow you to have a reasonably well planned life, insane housing prices out of touch of the working class, etc.

    2. Re:Consequences... by helpfulcorn · · Score: 5, Funny

      Are you sure? My wife tells me that when I have sex with her, it makes her sick.

    3. Re:Consequences... by tsa · · Score: 3, Insightful

      Sugar ín everything and drinking a litre of sugar water every day helps too.

      --

      -- Cheers!

    4. Re: Consequences... by ShanghaiBill · · Score: 3, Interesting

      With Trump in the White House who wants to live?

      Suicides went up the most among elderly rural males. In other words, Republicans. These people should be the happiest with Trump.

      America is an outlier here. Worldwide suicide rates have declined more than 29% since 2000.

    5. Re:Consequences... by kamapuaa · · Score: 3, Insightful


      Long working hours, stress due to stupid societal expectations, bullying via social media, poor health care unless you have a cush job ... they all have consequences.

      Well it's lucky that #1 Japan doesn't have a problem with any of these.

      --
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  2. Better to die of natural causes by rfengr · · Score: 4, Funny

    In Russia, liver cirrhosis and lung cancer are natural causes.

  3. White vs Hispanic by quenda · · Score: 5, Interesting

    The enormous difference between age-adjusted death rate of Whites and Hispanics is surprising.
    White males are dying at a 40% higher rate than Hispanics (age adjusted of course.)
    This is about the same as the gender gap in death rate, which starts from birth. Males are much more likely to die in cots, or as toddlers in pools.
    Is the racial gap across life like that, or appearing in middle age from diet-related disease?

    Do the English-speaking children and grandchildren of Hispanic immigrants maintain that advantage if they live a mainstream American lifestyle?
    i.e. nature or nurture?

  4. Decisions, Decisions by nehumanuscrede · · Score: 5, Interesting

    You either live long enough to go bankrupt from the out of control US healthcare system
    or you die young without ever having to experience the horrors of how this country treats
    its elderly.

    Personally, I think I would prefer the latter over the former.
    ( and I'm closer in age to the latter than the former )

  5. Re:Disease? by currently_awake · · Score: 5, Insightful

    Preventative healthcare is the key to a long life. Stopping stuff early keeps it from killing you suddenly or having permanent effects. People with poor healthcare (or limited access because of cost) tend to skimp on preventative healthcare, with corresponding effects on life expectancy. Why does the country with the most expensive healthcare on earth have the worst healthcare in the G20? Because dying patients are good for business.

  6. Cuba by manu0601 · · Score: 3, Insightful

    [US] life expectancy fell by one-tenth of a year, to 78.6 years

    One tenth of a year was the difference between USA and the 50 years embargoed Cuba in WHO 2015 study.

    1. Re:Cuba by _Sharp'r_ · · Score: 5, Informative

      Right, but those stats are heavily biased by infant mortality rate definitions where the same baby who dies in Cuba and the US gets eliminated from the stats as never having been born in Cuba, but as a very short life expectancy in the US.

      Creating a huge negative based on the fact that in the US they're extremely more likely to try and save severely premature babies than they are in Cuba is a bit ridiculous and renders those stats effectively meaningless.

      For example:

      In the U.S., very low birth weight babies are considered live births. The mortality rate of such infants – considered “unsalvageable” outside of the U.S. and therefore never alive – is extraordinarily high; up to 869 per 1,000 in the first month of life alone. This skews U.S. IM statistics.

        Since 2000, 42 of the world’s 52 surviving babies weighing less than 400 grams (0.9 lbs) were born in the U.S.

        Some of the countries reporting infant mortality rates lower than the U.S. classify babies as “stillborn” if they survive less than 24 hours whether or not such babies breathe, move, or have a beating heart at birth. But in the U.S., all infants who show signs of life at birth (take a breath, move voluntarily, have a heartbeat) are considered alive and are reflected in our IM statistics.

      --
      The party of stupid and the party of evil get together and do something both stupid and evil, then call it bipartisan.
  7. Courtesy of China by melted · · Score: 3, Informative

    30k deaths in 2017 from fentanyl overdose, most of it coming from China. And rates are growing exponentially.

    1. Re:Courtesy of China by fafalone · · Score: 3, Insightful

      And that's happened as opiate prescriptions have plummeted.

      Overprescribing was addressed in the worst possible way. Forcing people off their prescriptions of a standardized product led to seeking black market alternatives. This is yet another example of how prohibition takes something dangerous and makes it massively more so, since we keep falling for the same old idea that people won't take/can't get drugs if you simply ban them.
      Make no mistake, this massive spike in ODs wasn't some unforeseen surprise, everyone familiar with opiate abuse predicted this. The policy makers were no doubt informed of this, and then actively chose massively increasing overdose deaths over people continuing to use a less fatal alternative under some medical supervision. Not only that, our new crisis of severely undertreated pain has come roaring back, and legitimate pain patients are ODing and killing themselves too. Another totally foreseen consequence. Once again, the government looked at a drug problem and said 'Lots of people are dying, how can we make even more people suffer and die?'. It's sadomoralism, they desire only to punish drug users (not just abusers), not to actually reduce the harm drugs cause.

  8. Blame immigrants? by Anonymous Coward · · Score: 5, Insightful

    There's lots of cancer cures now, cancer is no longer the absolute death sentence it once was. Heart disease? Just ask Dick Cheney if they can fix it.... yeh they can. You blamed immigrants bringing "untreatable contagious conditions". What disease exactly? "heart disease"?? "Suicide"?

    Lots of cures for lots of diseases, but healthcare has been de-funded, and large parts of Obamacare have been undermined, and you cannot afford it because you are old and have existing preconditions.

    Lots of cures for lots of diseases, BUT NOT FOR YOU.

    Of the two countries with the longest lifespans:
    Switzerland has compulsary healthcare insurance, aka Obamacare.
    Japan has 70%/30 state/compulsary private insurance.

    It's not immigrants that bring the problem, the Republican party is home grown. Fox News is a *domestic* propaganda outfit. I's not immigrants that defunds Obamacare.

    1. Re:Blame immigrants? by dunkelfalke · · Score: 3, Funny

      Cheney has no heart, the pacemaker he has is only there to keep up appearances.

      --
      "It's such a fine line between stupid and clever" -- David St. Hubbins, Spinal Tap
  9. Re:Good news by CrimsonAvenger · · Score: 5, Insightful

    As life expectancy goes down, the possibility that social security will work goes up. The less people who can claim the benefits means more money to fewer survivors. Grim, but it's the truth.

    According to the article I read, the main cause of the drop is an increase in suicide and drug overdoses among the young. Which means fewer people pumping money into the system, without much corresponding drop in the people drawing out of the system. So I'd expect the opposite results...

    --

    "I do not agree with what you say, but I will defend to the death your right to say it"
  10. Really? Surprise! (NOT) by jimbrooking · · Score: 5, Informative

    American life expectancy has for years (since I've been following it) trailed most developed nations, according to the OECD (https://www.oecd.org/els/family/CO_1_2_Life_expectancy_at_birth.pdf). Kind of goes along with paying more than any other country in the world for healthcare (https://data.oecd.org/healthres/health-spending.htm), and having poor showings in most measures of public health (https://data.oecd.org/health.htm#profile-Health%20status). Add income inequality (1% vs. 99%) and income stagnation for the Rest Of Us, with suicide and drug abuse increases and life expectancy decreases? Not in the least surprising.

  11. Re:Suicide by quenda · · Score: 3, Insightful

    The difference in suicide rate from AC's link is 12 per 100,000. (18 vs 6)

    The overall death rate is 885 vs 632, a difference of 253 per 100k.
    So suicide rates, while high, only explain 5% of the white-hispanic male difference.

  12. Re:It's drug overdose rates skyrocketing by SuperKendall · · Score: 5, Insightful

    Legalizing isn't washing your hands of it, it's merely the start of being able to truly help.

    Keeping such drugs illegal is washing our hands and then using our clean hands to dig a large hole into which we place our heads so we cannot hear the screams of the damned.

    If we tried what Portugal did 14 years ago, maybe we'd have similar success...

    Don't forget we could still go after dealers of really dangerous stuff, it would juts make small quantities illegal.

    --
    "There is more worth loving than we have strength to love." - Brian Jay Stanley
  13. Emotional instability by jd · · Score: 4, Interesting

    Is a product of poor education and poor diet. The areas affected suffer both.

    Poor genetic health is a factor, with urban communities typically having better genes, but that would be overwhelmed by diet and education.

    America's he-man culture and lack of functioning health service (mental health is virtually absent, synthetic opium is handed out like candy by doctors to make up for it) are other major blunders.

    And remember this is an average life expectancy, it's different for men and women. Men tend to live shorter lifespans. And it's male lifespans that are falling fastest.

    --
    It's a small world and it smells funny; I'd buy another if it wasn't for the money; Take back what I paid (SoM)
  14. Re: Who cares about the poor, what about middle cl by jd · · Score: 4, Interesting

    The middle class is dying. And the bulk of people I've worked for were unhealthy slobs who will die stupidly young.

    The air pollution around Portland, OR - home of the middle class, or at least theur books - is replete with heavy metals such as mercury. And restrictions are being lifted. It will get worse.

    --
    It's a small world and it smells funny; I'd buy another if it wasn't for the money; Take back what I paid (SoM)
  15. Re:Disease? by Opportunist · · Score: 4, Insightful

    No matter how good your doctor is, if you cannot afford him he could be offering eternal life and you'll still croak from a preventable disease because you just can't afford it.

    And with more and more people not being able to... well, what do you expect?

    --
    We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
  16. Re:Disease? by AHuxley · · Score: 3, Interesting

    Do "complex factors" make the USA so very unique?
    A series of advanced nations have the same levels of decades of industrialization in and around their city areas.
    The same transport, factory products. The US did improve on occupational safety and health. Such a large number of industrial conditions would be easy to track.
    The same levels of water treatment. The same ability to design working sewer systems. For many decades.
    Food should be of the same quality to average working and middle class populations. Doctors do notice and report conditions resulting from a lack of food.

    Back to the question of what a well funded US wide epidemiologist study could find.
    What are the "societal and economical problems" that makes some advanced nations able to do "health" care on average for their average populations?
    Re "Genetics, lifestyle choices, random chance, environmental factors."
    Hows the US populations "genetics" different?
    Lifestyle choices? Are other advanced nations making their populations do more sport more often?
    What are the "random chance" factors unique to the USA not spread over other advanced nations globally?
    Re "environmental factors? Lots of unexpected super fund sites in middle class and working class communities all over the USA nobody has ever noticed?
    A US epidemiologist would have found that polluted area and published on that interesting collection of medical conditions.
    Advanced nations like the USA can track and gather long term health information related to unexpected health problems in any community.

    --
    Domestic spying is now "Benign Information Gathering"
  17. That does NOT explain it by aepervius · · Score: 3, Insightful

    See if the number of infant mortality was increasing that would explain it, but they have stayed stable or lower slightly. Therefore while this can explain an *offset* between USA and other OECD country, it cannot explain the trend. Furthermore even as an offset, it is incredibly low and cannot account for such a huge discrepancy : infant mortality even with those "lowered" rates are 3 per live birth in Germany and 6 per live birth in USA. That cannot account for the discrepancy in average life expectancy difference : 1.7 years that would require far more than 3 more baby per live birth to drop an average of 1.7 years over 300 million people (hint : 3 more death of baby per 1000, so about 12000 baby death per year, so per cohort at most I come with a gap of about between 1 and 2 month of contribution. That still leaves you 18 month to explain and baby death will not do that).

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