9 ms·

U.S. life expectancy declines for the first time since 1993

101 points by Deinos 10y ago

bediger4000 10y ago
What are we to make of this? Should this data be considered at all?
- brianwawok 10y ago
  Eat healthy, exercise, don't smoke, stay a good weight.. you will do better than average, on average. I think this is all just a trend of our not healthy culture. If over 10 years everyone gains 10 pounds, your life expectancy is not going to do awesome things.
  - CardenB 10y ago
    Is there evidence that our culture is becoming less healthy? It seemed to me that we, meaning the US as a whole, have been building better habits. I feel that this is an economic issue more than anything else.
    - k-mcgrady 10y ago
      Anecdotally I notice that a lot more younger people seem to be eating healthy and exercising regularly (although it seems to be two extremes with the other younger people being particularly unhealthy and a lack of people in the middle). Maybe the problem is that the push for healthy eating and exercise in culture has come too late for some people who are now at the age where their bad habits are leading to early death.
      - hanklazard 10y ago
        I see that too, among the relatively wealthy, well-educated people that make up most of my friend groups and family. However, as a primary care doctor, I can tell you that obesity and type II diabetes seem to be affecting people at a younger and younger age amongst the poor. I'll look for actual data later this afternoon, but that's been my experience and those docs who have been practicing decades longer than me tend to agree.
      - mason240 10y ago
        >Anecdotally I notice that a lot more younger people seem to be eating healthy and exercising regularly How long has it been since you visited a school? It's very depressing to see how many elementary aged children are 20+ lbs overweight.
        k-mcgrady 10y ago
        I've noticed this but left if out of my comment. The reason being that young children generally aren't in control of their diet and exercise so it's probably a result of the parents and where they fit in on the two extremes I've mentioned.
    - notadoc 10y ago
      > Is there evidence that our culture is becoming less healthy? Obesity is widespread and extreme.
    - mikestew 10y ago
      Is there evidence that our culture is becoming less healthy? A trip to any U. S. major theme park ought to do the trick, preferably one of the ones around Orlando. It seemed to me that we, meaning the US as a whole, have been building better habits. I hesitate to pull the "you live in a bubble" card, but I think it applies here. If I looked around me here in Seattle, I might agree with you. Buncha fit hiker/snowboarder types driving Subarus on their way to the xTREME Mudfest This Is Sparta Run Sponsored by Rockstar Energy Drink. You have nothing in your profile for me to go on, so I'll go with assuming you're a 20/30-something bro living around SV who's into running/biking/whatever like all of your friends. You look around and go, "obesity problem? What obesity problem?" Then I hop on a plane to visit my parents in Florida, and the bubble pops. O...M...G, when did children turn into such butterballs? Oh, that explains it: look at their parents. Pictures of friends in the Midwest? Same thing: when did my classmates get so fat? Again, I don't know your background, but if you're basing your opinion on what you've seen on the west coast, you're doing it wrong.
      - munificent 10y ago
        If you think Florida is bad, try Appalachia. I moved from Orlando to Seattle and earlier this year took a trip to Gatlinburg. The obesity there was just insane.
        mikestew 10y ago
        Good point; sadly it's been a good ten years since I've been near the NC mountains and I've forgotten. I have no reason to think it has improved. Though the fact that the wife and I lost weight when we moved from NC to Seattle ought to tell you something.
      - ideonexus 10y ago
        Living in urban Northern Virginia (NoVa), I had a similar culture-shock when I moved to NortheEastern North Carolina, a very rural area. All of my coworkers and neighbors were obese, I quickly became known around town as the weird guy who walked everywhere, and at restaurants my friends would make fun of me for eating salads while taking pride in showing off how much food they could eat at one sitting. I once made the mistake of making a critical comment about McDonald's and was accused of "pushing a liberal agenda." Back in NoVa years later, and the mindset down there still baffles me. Heart disease and diabetes are just kind of accepted as inevitable natural outcomes of aging, and are not seen as the consequences of overindulgence.
- intev 10y ago
  That improvements in healthcare can't keep up with the bad choices we make when it comes to nutrition and exercise.
  - gph 10y ago
    Perhaps, changing demographics is also a likely contributor. We have more poor people these days, both through immigration and growing income inequality/stagflation. Poor people can't invest are much time/money/energy into their health. And yes poorer individuals often make bad choices, usually through prioritizing the short-term to the detriment of the long-term, but it's hard to place too much blame on them given the circumstances they find themselves in.
    - d_e_solomon 10y ago
      This might be pedantic, but stagflation doesn't describe our economy. Stagflation would indicate stagnant growth and too high inflation. Inflation is currently at 1.6% according to the BLS for the past 12 mo. If anything, that is a little too low due as the Fed's target is about 2%. Growth is also going the correct direction as the Fed is forecasting growth for 2016 of around 1.6-2%. Does that mean the economy is perfect? Of course not, but stagflation probably isn't the right word either.
      - gph 10y ago
        You're right, I was using it as a catch-all term which I really shouldn't do. What I was trying to get at was the trend of rising costs of living with stagnant wages which a lot of people have been seeing for the past couple decades. Need to come up with a good portmanteau for that :)
- gdulli 10y ago
  "life expectancy fell by one-tenth of a year, from 78.9 in 2014 to 78.8 in 2015, according to the latest data. The last time U.S. life expectancy at birth declined was in 1993, when it dropped from 75.6 to 75.4" "Experts cautioned against interpreting too much from a single year of data; the numbers could reverse themselves next year, they said." I'd be more suspicious of a completely monotonic data set. "For the first time since 1993" sounds dramatic in a headline but it also means it's only a single data point.
- drzaiusapelord 10y ago
  Hard to say but baby boomer obesity is a probably factor. Boomers are reaching end of life ages and their obesity issues are contributing to early mortality. The boomer population is so large that even a small uptick in obesity related mortality will show up in the national average. http://www.nejm.org/doi/full/10.1056/NEJMoa055643#t=article http://www.nejm.org/doi/full/10.1056/NEJMoa055643#t=article https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2831354/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2831354/
  - tzs 10y ago
    According to the article, though: > Life expectancy at age 65 did not fall, another indication that the diseases behind the lower life expectancy occur in middle age or younger.
quickConclusion 10y ago
Let's quickly interpret this to further our pre-existing agenda (healthcare, guns, environment, vaccination, inequality, obama, immigration...)
- drzaiusapelord 10y ago
  I think there's a clear link here: http://stateofobesity.org/rates/ http://stateofobesity.org/rates/ Obesity is still a big problem and shaves off years of our lives. I think having an anti-obesity agenda is a wonderful thing and shouldn't be trivialized.
  - lintiness 10y ago
    so all of a sudden from 2014 to 2015, obesity?
    - drzaiusapelord 10y ago
      A lot of boomers are reaching end of life ages and dying off, raising mortality. Their obesity issues and the vast number of boomers out there are raising the rate. Some data: http://www.nejm.org/doi/full/10.1056/NEJMoa055643#t=article http://www.nejm.org/doi/full/10.1056/NEJMoa055643#t=article https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2831354/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2831354/
      - digikata 10y ago
        You would expect the number of deaths to rise due to demographics, but just the distribution alone should not affect the rate. Now because a group is demographically together, that group of peers may have collectively had a significantly different integrated set of life experiences than previous groups - different food and food habits, different environmental exposures, work environments, etc. (all of which could add up to more obesity). So the dip could be the first sign that those integrated differences add up to a shift. Though, re: obesity, aren't there a number of papers that seem to say that some extra weight in your latter years may be an indicator of better survivability for some medical events?
deleted 10y ago
[deleted]
deleted 10y ago
[deleted]
yk 10y ago
Probably just random variance. In particular, that most categories of cause of death increased seems to point at random chance, since they should not correlated strongly. (But this is probably something to watch next year.)
- othello 10y ago
  Shouldn't this be exactly the contrary? If you have 10 independent coin flips, the chance of getting 10 heads is < 0.1%, while if they are perfectly correlated, then it simply becomes 50%. Having 10 independent causes of death going up simultaneously is very unlikely to be caused by random chance. Rather it's an indication of an external phenomenon influencing all causes simultaneously.
  - yk 10y ago
    The argument is the other way round, they should not be correlated, or if they are correlated they should be correlated in an obvious way, therefore it is likely random chance compared to the situation were suddenly there is a spike in violent death because of nuclear war or something.
notadoc 10y ago
The undeveloping world. Widespread obesity, poor diet, sedentary lifestyles, the uniquely inefficient health care system, wealth inequality, etc, will likely cause overall expectancy to drop further. Related and interesting: > "As of 2010, the average, upper-income 50-year-old man was expected to live to 89. But the same man, if he's lower income, would live to just 76, according to the report." https://www.washingtonpost.com/news/wonk/wp/2015/09/18/the-government-is-spending-more-to-help-rich-seniors-than-poor-ones/?utm_term=.2ff0f4046c66 https://www.washingtonpost.com/news/wonk/wp/2015/09/18/the-g...
- astrodust 10y ago
  Unimproving: Infrastructure in the US is falling apart, often literally. Nobody wants to pay for bridges, roads, sewers, or flood protection. It's like a return to the 1800s before any of this stuff existed. Uneducating: The "fake news" problem is the tip of the iceberg. People are celebrating their ignorance as if it's a good thing, that being educated is to lose touch with the real world. It's telling that the flat-earth community, filled with offensive levels of pride in stupidity, thrives in the US. Unearning: Children are often earning far less than their parents because they're forced into crappy part-time jobs or minimum wage temp work. Those lifetime jobs that parents got in a union or a big enterprise are all but extinct.
- yummyfajitas 10y ago
  While life expectancy is strongly correlated with income, it's actually uncorrelated with inequality and access to health care. https://jamanetwork.com/journals/jama/article-abstract/2513561 https://jamanetwork.com/journals/jama/article-abstract/25135...
  - coldtea 10y ago
    >While life expectancy is strongly correlated with income, it's actually uncorrelated with inequality and access to health care. Or so says one published study, but scientific consensus develops across many studies, responses to them, meta-studies, and over a long period. Here is a counter result for example: https://www.ncbi.nlm.nih.gov/pubmed/15650149 https://www.ncbi.nlm.nih.gov/pubmed/15650149
smaddali 10y ago
one interesting note is that life expectancy at 65 years of age did not change, Indicating that the diseases behind the lower life expectancy occur in middle age or younger. The reasons behind the decrease. [deaths per 100K population] The heart disease went up from 167 to 168.5 Also'Unintentional Injuries' went up from 40.5 to 43.2. On the positive side, the contribution of cancer has come down.
- killedbydeath 10y ago
  People die of cancer if they don't die of something more treatable before that so lower cancer contribution may be not for a good reason.
duaneb 10y ago
Why does this metric matter so much to so many people? Why not quality of life?
- mc32 10y ago
  It's an imperfect proxy for how well a population is doing. But, yes, yours is a question we should peer into to know whether the presumption of longer life = unqualified good. That said, in this case, it's believed self-kill and opioid overdosing are contributing to this trend and those are not good contributors.
djklanac 10y ago
The quality of available food in the US is a big part of the problem. A recent TED speaker postulates 74% of food in the average US grocery store is spiked with added sugar [1]. We also eat too few vegetables and too much meat in our diets. And those foods are often raised with harmful pesticides and hormones respectively. I am a discerning shopper, avoid fast food and still get surprised by food that is not good for me. For instance, I put a tiny amount of unflavored, low-fat half & half in my coffee in the morning. I checked the label today and see that it contains corn syrup. In my head, it was just skim milk and cream. Silly me. [1] http://www.npr.org/2016/11/18/502171330/how-worried-should-we-be-about-sugar http://www.npr.org/2016/11/18/502171330/how-worried-should-w...
- 0xffff2 10y ago
  Could you post a link to/picture of said half & half? I have a very hard time believing it's legal to call something with corn syrup in it "half & half" (as opposed to "creamer" or something similar).
  - tomjakubowski 10y ago
    It's commonly found in "fat-free" or "skim" half & half, along with thickening agents. You're right, it's pretty awful that this crap is labeled as "half & half". Here's an example: https://www.landolakes.com/products/half-half-and-whipping-cream/half-half/land-o-lakes-sup-reg;-sup-fat-free-half-half/ https://www.landolakes.com/products/half-half-and-whipping-c...
- rogerdpack 10y ago
  Interesting point that we eat too much sugar (which in turn makes us over eat at meals, and thus become obese). It's like a cultural thing though, maybe we can change it slowly somehow...
gressquel 10y ago
I was kind of wondering how this didnt happen earlier. I have been to US 3 times. NYC, Vegas, San Fran, Los angeles etc. and one thing I noticed was how unhealthy alot of americans lived compared to europe. Obsese parents together with children as small as 6 years old were all dining at fast-food restaurants eating massive amount of food. The kids were very obese too. The entire culture seemed for _me_ as its rather normal to eat your dinner at kfc or mcdonalds than making food at home. When we took the flight fra NYC to Vegas we noticed there were more obese people than "regular sized". But when we took fra SF to London it was opposite. And whats up with the size of the meals served in restaurants? its huuge. alot food for little money. Sometimes we split one dish in between us because it was too much for a single person. The same when we went to movies, we got to choose size of coke and popcorn. So we picked medium coke. Medium is like extra-large in europe. I think its sad because americans are missing out on really great food. It is the food you cook yourself thats not only healthy but tastes so much better and authentic. I hope nobody is offended my post but I just felt its an area to improve on.
- vinay427 10y ago
  > tastes so much better and authentic. I agree with most of your post as I am fortunate to have been exposed to food cultures outside the US, but I disagree with this point. Many people either can't or won't cook food that is "authentic" to any reasonable standard especially if it is, to them, a foreign cuisine. This applies in basically every country around the world. That being said, I don't think the goal of good food is to be "authentic" if restaurant critiques are any indication.
  - openfuture 10y ago
    I think you have different understandings of the word 'authentic' in the context of food.
    - vinay427 10y ago
      Could you clarify what your definition is in this context?
jcl 10y ago
I believe this is the actual report: http://www.cdc.gov/nchs/data/databriefs/db267.pdf http://www.cdc.gov/nchs/data/databriefs/db267.pdf I noticed that the "top ten cause" chart doesn't have an "other" column, but it looks like that can be computed from the total rates for top ten causes and the total for all causes. If my math is correct, we went from 191.3 (2014) to 191.1 (2015). So I guess the good news is the death rate from unpopular or unexplained causes went down a little. :|
disposablezero 10y ago
It's another in a long line of examples underscoring massive inequality, but it's about to be made moot by the 100's to 1000's of gigatons of methane (5 GT in the air right now) from just the ESAS going to push global warming into the +4C to +6C range within a decade. Global famines, wars, mass migrations and so on. If a person today doesn't have a completely self-sufficient, off-the-grid refuge in the far north or south, that person is suicidal or a Christian fundamentalist praying for rain.
dgudkov 10y ago
Why wouldn't it decline if the middle class is shrinking?
woodandsteel 10y ago
Life span lessens, but food industry and health care industry profits have never been higher. Could there be a connection?

101 points by Deinos 10y ago

bediger4000 10y ago

What are we to make of this? Should this data be considered at all?

brianwawok 10y ago
Eat healthy, exercise, don't smoke, stay a good weight.. you will do better than average, on average. I think this is all just a trend of our not healthy culture. If over 10 years everyone gains 10 pounds, your life expectancy is not going to do awesome things.
- CardenB 10y ago
  Is there evidence that our culture is becoming less healthy? It seemed to me that we, meaning the US as a whole, have been building better habits. I feel that this is an economic issue more than anything else.
  - k-mcgrady 10y ago
    Anecdotally I notice that a lot more younger people seem to be eating healthy and exercising regularly (although it seems to be two extremes with the other younger people being particularly unhealthy and a lack of people in the middle). Maybe the problem is that the push for healthy eating and exercise in culture has come too late for some people who are now at the age where their bad habits are leading to early death.
    - hanklazard 10y ago
      I see that too, among the relatively wealthy, well-educated people that make up most of my friend groups and family. However, as a primary care doctor, I can tell you that obesity and type II diabetes seem to be affecting people at a younger and younger age amongst the poor. I'll look for actual data later this afternoon, but that's been my experience and those docs who have been practicing decades longer than me tend to agree.
    - mason240 10y ago
      >Anecdotally I notice that a lot more younger people seem to be eating healthy and exercising regularly How long has it been since you visited a school? It's very depressing to see how many elementary aged children are 20+ lbs overweight.
      - k-mcgrady 10y ago
        I've noticed this but left if out of my comment. The reason being that young children generally aren't in control of their diet and exercise so it's probably a result of the parents and where they fit in on the two extremes I've mentioned.
  - notadoc 10y ago
    > Is there evidence that our culture is becoming less healthy? Obesity is widespread and extreme.
  - mikestew 10y ago
    Is there evidence that our culture is becoming less healthy? A trip to any U. S. major theme park ought to do the trick, preferably one of the ones around Orlando. It seemed to me that we, meaning the US as a whole, have been building better habits. I hesitate to pull the "you live in a bubble" card, but I think it applies here. If I looked around me here in Seattle, I might agree with you. Buncha fit hiker/snowboarder types driving Subarus on their way to the xTREME Mudfest This Is Sparta Run Sponsored by Rockstar Energy Drink. You have nothing in your profile for me to go on, so I'll go with assuming you're a 20/30-something bro living around SV who's into running/biking/whatever like all of your friends. You look around and go, "obesity problem? What obesity problem?" Then I hop on a plane to visit my parents in Florida, and the bubble pops. O...M...G, when did children turn into such butterballs? Oh, that explains it: look at their parents. Pictures of friends in the Midwest? Same thing: when did my classmates get so fat? Again, I don't know your background, but if you're basing your opinion on what you've seen on the west coast, you're doing it wrong.
    - munificent 10y ago
      If you think Florida is bad, try Appalachia. I moved from Orlando to Seattle and earlier this year took a trip to Gatlinburg. The obesity there was just insane.
      - mikestew 10y ago
        Good point; sadly it's been a good ten years since I've been near the NC mountains and I've forgotten. I have no reason to think it has improved. Though the fact that the wife and I lost weight when we moved from NC to Seattle ought to tell you something.
    - ideonexus 10y ago
      Living in urban Northern Virginia (NoVa), I had a similar culture-shock when I moved to NortheEastern North Carolina, a very rural area. All of my coworkers and neighbors were obese, I quickly became known around town as the weird guy who walked everywhere, and at restaurants my friends would make fun of me for eating salads while taking pride in showing off how much food they could eat at one sitting. I once made the mistake of making a critical comment about McDonald's and was accused of "pushing a liberal agenda." Back in NoVa years later, and the mindset down there still baffles me. Heart disease and diabetes are just kind of accepted as inevitable natural outcomes of aging, and are not seen as the consequences of overindulgence.
intev 10y ago
That improvements in healthcare can't keep up with the bad choices we make when it comes to nutrition and exercise.
- gph 10y ago
  Perhaps, changing demographics is also a likely contributor. We have more poor people these days, both through immigration and growing income inequality/stagflation. Poor people can't invest are much time/money/energy into their health. And yes poorer individuals often make bad choices, usually through prioritizing the short-term to the detriment of the long-term, but it's hard to place too much blame on them given the circumstances they find themselves in.
  - d_e_solomon 10y ago
    This might be pedantic, but stagflation doesn't describe our economy. Stagflation would indicate stagnant growth and too high inflation. Inflation is currently at 1.6% according to the BLS for the past 12 mo. If anything, that is a little too low due as the Fed's target is about 2%. Growth is also going the correct direction as the Fed is forecasting growth for 2016 of around 1.6-2%. Does that mean the economy is perfect? Of course not, but stagflation probably isn't the right word either.
    - gph 10y ago
      You're right, I was using it as a catch-all term which I really shouldn't do. What I was trying to get at was the trend of rising costs of living with stagnant wages which a lot of people have been seeing for the past couple decades. Need to come up with a good portmanteau for that :)
gdulli 10y ago
"life expectancy fell by one-tenth of a year, from 78.9 in 2014 to 78.8 in 2015, according to the latest data. The last time U.S. life expectancy at birth declined was in 1993, when it dropped from 75.6 to 75.4" "Experts cautioned against interpreting too much from a single year of data; the numbers could reverse themselves next year, they said." I'd be more suspicious of a completely monotonic data set. "For the first time since 1993" sounds dramatic in a headline but it also means it's only a single data point.
drzaiusapelord 10y ago
Hard to say but baby boomer obesity is a probably factor. Boomers are reaching end of life ages and their obesity issues are contributing to early mortality. The boomer population is so large that even a small uptick in obesity related mortality will show up in the national average. http://www.nejm.org/doi/full/10.1056/NEJMoa055643#t=article http://www.nejm.org/doi/full/10.1056/NEJMoa055643#t=article https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2831354/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2831354/
- tzs 10y ago
  According to the article, though: > Life expectancy at age 65 did not fall, another indication that the diseases behind the lower life expectancy occur in middle age or younger.

quickConclusion 10y ago

Let's quickly interpret this to further our pre-existing agenda (healthcare, guns, environment, vaccination, inequality, obama, immigration...)

drzaiusapelord 10y ago
I think there's a clear link here: http://stateofobesity.org/rates/ http://stateofobesity.org/rates/ Obesity is still a big problem and shaves off years of our lives. I think having an anti-obesity agenda is a wonderful thing and shouldn't be trivialized.
- lintiness 10y ago
  so all of a sudden from 2014 to 2015, obesity?
  - drzaiusapelord 10y ago
    A lot of boomers are reaching end of life ages and dying off, raising mortality. Their obesity issues and the vast number of boomers out there are raising the rate. Some data: http://www.nejm.org/doi/full/10.1056/NEJMoa055643#t=article http://www.nejm.org/doi/full/10.1056/NEJMoa055643#t=article https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2831354/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2831354/
    - digikata 10y ago
      You would expect the number of deaths to rise due to demographics, but just the distribution alone should not affect the rate. Now because a group is demographically together, that group of peers may have collectively had a significantly different integrated set of life experiences than previous groups - different food and food habits, different environmental exposures, work environments, etc. (all of which could add up to more obesity). So the dip could be the first sign that those integrated differences add up to a shift. Though, re: obesity, aren't there a number of papers that seem to say that some extra weight in your latter years may be an indicator of better survivability for some medical events?

deleted 10y ago

[deleted]

deleted 10y ago

[deleted]

yk 10y ago

Probably just random variance. In particular, that most categories of cause of death increased seems to point at random chance, since they should not correlated strongly. (But this is probably something to watch next year.)

othello 10y ago
Shouldn't this be exactly the contrary? If you have 10 independent coin flips, the chance of getting 10 heads is < 0.1%, while if they are perfectly correlated, then it simply becomes 50%. Having 10 independent causes of death going up simultaneously is very unlikely to be caused by random chance. Rather it's an indication of an external phenomenon influencing all causes simultaneously.
- yk 10y ago
  The argument is the other way round, they should not be correlated, or if they are correlated they should be correlated in an obvious way, therefore it is likely random chance compared to the situation were suddenly there is a spike in violent death because of nuclear war or something.

notadoc 10y ago

The undeveloping world. Widespread obesity, poor diet, sedentary lifestyles, the uniquely inefficient health care system, wealth inequality, etc, will likely cause overall expectancy to drop further. Related and interesting: > "As of 2010, the average, upper-income 50-year-old man was expected to live to 89. But the same man, if he's lower income, would live to just 76, according to the report." https://www.washingtonpost.com/news/wonk/wp/2015/09/18/the-government-is-spending-more-to-help-rich-seniors-than-poor-ones/?utm_term=.2ff0f4046c66 https://www.washingtonpost.com/news/wonk/wp/2015/09/18/the-g...

astrodust 10y ago
Unimproving: Infrastructure in the US is falling apart, often literally. Nobody wants to pay for bridges, roads, sewers, or flood protection. It's like a return to the 1800s before any of this stuff existed. Uneducating: The "fake news" problem is the tip of the iceberg. People are celebrating their ignorance as if it's a good thing, that being educated is to lose touch with the real world. It's telling that the flat-earth community, filled with offensive levels of pride in stupidity, thrives in the US. Unearning: Children are often earning far less than their parents because they're forced into crappy part-time jobs or minimum wage temp work. Those lifetime jobs that parents got in a union or a big enterprise are all but extinct.
yummyfajitas 10y ago
While life expectancy is strongly correlated with income, it's actually uncorrelated with inequality and access to health care. https://jamanetwork.com/journals/jama/article-abstract/2513561 https://jamanetwork.com/journals/jama/article-abstract/25135...
- coldtea 10y ago
  >While life expectancy is strongly correlated with income, it's actually uncorrelated with inequality and access to health care. Or so says one published study, but scientific consensus develops across many studies, responses to them, meta-studies, and over a long period. Here is a counter result for example: https://www.ncbi.nlm.nih.gov/pubmed/15650149 https://www.ncbi.nlm.nih.gov/pubmed/15650149

smaddali 10y ago

one interesting note is that life expectancy at 65 years of age did not change, Indicating that the diseases behind the lower life expectancy occur in middle age or younger. The reasons behind the decrease. [deaths per 100K population] The heart disease went up from 167 to 168.5 Also'Unintentional Injuries' went up from 40.5 to 43.2. On the positive side, the contribution of cancer has come down.

killedbydeath 10y ago
People die of cancer if they don't die of something more treatable before that so lower cancer contribution may be not for a good reason.

duaneb 10y ago

Why does this metric matter so much to so many people? Why not quality of life?

mc32 10y ago
It's an imperfect proxy for how well a population is doing. But, yes, yours is a question we should peer into to know whether the presumption of longer life = unqualified good. That said, in this case, it's believed self-kill and opioid overdosing are contributing to this trend and those are not good contributors.

djklanac 10y ago

The quality of available food in the US is a big part of the problem. A recent TED speaker postulates 74% of food in the average US grocery store is spiked with added sugar [1]. We also eat too few vegetables and too much meat in our diets. And those foods are often raised with harmful pesticides and hormones respectively. I am a discerning shopper, avoid fast food and still get surprised by food that is not good for me. For instance, I put a tiny amount of unflavored, low-fat half & half in my coffee in the morning. I checked the label today and see that it contains corn syrup. In my head, it was just skim milk and cream. Silly me. [1] http://www.npr.org/2016/11/18/502171330/how-worried-should-we-be-about-sugar http://www.npr.org/2016/11/18/502171330/how-worried-should-w...

0xffff2 10y ago
Could you post a link to/picture of said half & half? I have a very hard time believing it's legal to call something with corn syrup in it "half & half" (as opposed to "creamer" or something similar).
- tomjakubowski 10y ago
  It's commonly found in "fat-free" or "skim" half & half, along with thickening agents. You're right, it's pretty awful that this crap is labeled as "half & half". Here's an example: https://www.landolakes.com/products/half-half-and-whipping-cream/half-half/land-o-lakes-sup-reg;-sup-fat-free-half-half/ https://www.landolakes.com/products/half-half-and-whipping-c...
rogerdpack 10y ago
Interesting point that we eat too much sugar (which in turn makes us over eat at meals, and thus become obese). It's like a cultural thing though, maybe we can change it slowly somehow...

gressquel 10y ago

I was kind of wondering how this didnt happen earlier. I have been to US 3 times. NYC, Vegas, San Fran, Los angeles etc. and one thing I noticed was how unhealthy alot of americans lived compared to europe. Obsese parents together with children as small as 6 years old were all dining at fast-food restaurants eating massive amount of food. The kids were very obese too. The entire culture seemed for _me_ as its rather normal to eat your dinner at kfc or mcdonalds than making food at home. When we took the flight fra NYC to Vegas we noticed there were more obese people than "regular sized". But when we took fra SF to London it was opposite. And whats up with the size of the meals served in restaurants? its huuge. alot food for little money. Sometimes we split one dish in between us because it was too much for a single person. The same when we went to movies, we got to choose size of coke and popcorn. So we picked medium coke. Medium is like extra-large in europe. I think its sad because americans are missing out on really great food. It is the food you cook yourself thats not only healthy but tastes so much better and authentic. I hope nobody is offended my post but I just felt its an area to improve on.

vinay427 10y ago
> tastes so much better and authentic. I agree with most of your post as I am fortunate to have been exposed to food cultures outside the US, but I disagree with this point. Many people either can't or won't cook food that is "authentic" to any reasonable standard especially if it is, to them, a foreign cuisine. This applies in basically every country around the world. That being said, I don't think the goal of good food is to be "authentic" if restaurant critiques are any indication.
- openfuture 10y ago
  I think you have different understandings of the word 'authentic' in the context of food.
  - vinay427 10y ago
    Could you clarify what your definition is in this context?

jcl 10y ago

I believe this is the actual report: http://www.cdc.gov/nchs/data/databriefs/db267.pdf http://www.cdc.gov/nchs/data/databriefs/db267.pdf I noticed that the "top ten cause" chart doesn't have an "other" column, but it looks like that can be computed from the total rates for top ten causes and the total for all causes. If my math is correct, we went from 191.3 (2014) to 191.1 (2015). So I guess the good news is the death rate from unpopular or unexplained causes went down a little. :|

disposablezero 10y ago

It's another in a long line of examples underscoring massive inequality, but it's about to be made moot by the 100's to 1000's of gigatons of methane (5 GT in the air right now) from just the ESAS going to push global warming into the +4C to +6C range within a decade. Global famines, wars, mass migrations and so on. If a person today doesn't have a completely self-sufficient, off-the-grid refuge in the far north or south, that person is suicidal or a Christian fundamentalist praying for rain.

dgudkov 10y ago

Why wouldn't it decline if the middle class is shrinking?

woodandsteel 10y ago

Life span lessens, but food industry and health care industry profits have never been higher. Could there be a connection?