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United States Medicine

US Life Expectancy Falls Further (cnn.com) 336

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.

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US Life Expectancy Falls Further

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  • Consequences... (Score:5, Interesting)

    by b0s0z0ku ( 752509 ) on Thursday November 29, 2018 @10:17PM (#57723692)
    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.
    • by Anonymous Coward

      Dont forget about the food pyramid, processed foods, and high sugar drinks. Politics and lobbyists had a huge hand in all of this too.

      • Yeah. Processed foods and high sugar drinks make people kill each other and themselves and use hard drugs.

        At least read the fucking summary if you can't be assed to click on any of the links.

        • by shilly ( 142940 )

          From the same summary that you think you read: "diabetes also factored into last year's increase"

          Processed foods and high sugar drinks are causative for diabetes

          • Unlike the rest, diabetes is a fairly slow killer. Unless you can find me a reason why diabetes hits exactly now that the others strike, I dare say it's irrelevant.

            • by Luckyo ( 1726890 )

              Being a slow killer simply means that cumulative effect on population is delayed. Eventually it will start being felt, and it will keep getting worse. This appears to be the beginning of this delayed effect showing on mortality rates. It will likely keep getting worse as more and more diabetics die early due to wide array of health complications that both type1 and type2 cause.

    • Re:Consequences... (Score:4, Interesting)

      by cheesybagel ( 670288 ) on Thursday November 29, 2018 @11:17PM (#57723938)

      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.

    • Re:Consequences... (Score:4, Insightful)

      by tsa ( 15680 ) on Friday November 30, 2018 @12:48AM (#57724218) Homepage

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

      • Sugar makes you want to kill yourself and take drugs?

        I must have missed that study.

        • by tsa ( 15680 )

          Drugs and suicide are attractive when you are fat and have diabetes.

          • Drugs and suicide are attractive when you are fat and have diabetes.

            What about when you are skinny and have diabetes? 188 cm, 75 kg, diabetic here. Of course, my excuse is lack of several internal organs, not sugar....

        • A high sugar diet is linked to ADHD, is linked to higher stress levels, is linked to higher suicide rates.
        • Sugar makes you want to kill yourself and take drugs?

          I must have missed that study.

          Isn't it something how people bring out their favorite axes to grind?

          So far this has been caused by:

          Hillary

          Trump

          Sugar

          Capitalism

          Socialism

          Healthcare

          No Healthcare

          Opioids

          Pain

          Wilford Brimly (diabeeties)

          We need someone to step up and claim its because we've turned away from religion. C'mon Slashdotters!

      • No. Sugar's too expensive with all the duties on it. High Fructose Corn Syrup is in everything.

    • Re:Consequences... (Score:4, Insightful)

      by kamapuaa ( 555446 ) on Friday November 30, 2018 @03:29AM (#57724586) Homepage


      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.

    • 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.

      Tobacco is still a legal product. And before we dismiss that with "choice", medical error kills almost as many Americans every year.

      We allowed the Medical Industrial Complex to put opium in a prescription bottle, CAFO operators to fight for as little regulation as possible, and HFCS infected our food supply.

      Every government on the planet has a job to do, and part of that job is resource management. That includes population control. Many of our most deadly-yet-legal products highlight this fact. The US G

      • The US Government ironically sustains their stance against legalizing cannabis not because it's actually fit for Schedule I restrictions, but because it's not deadly enough. Alcohol not only kills tens of thousands every year,

        Yeah, we should ban alcohol! Because that would save lives by the tens of thousands, with no downsides whatsoever!

        What's that you say? It's been tried already? Well, then, why were we silly enough to stop the Noble Experiment? It couldn't have failed to achieve the intended result

    • by lgw ( 121541 )

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

      Except for social media, none of these are new. I'm sure social media bullying has increase suicide rates, but I doubt its by much.

      Not being able to get a job is worse for most people than long working hours. That has been tied to the opioid epidemic by some studies. As automation continues to push people out of the low-end economic jobs, people who simply can't do anything else, suicide rates and opioid addiction will only increase. I'm not sure what the solutions is, but it's more than money: most peo

  • by rfengr ( 910026 ) on Thursday November 29, 2018 @10:22PM (#57723726)
    In Russia, liver cirrhosis and lung cancer are natural causes.
    • Re: (Score:2, Funny)

      by Anonymous Coward

      If you've never smelled Russian tobacco, you live an extra 10 years longer no matter what else you do. There is a leather and transmission fluid component somehow. Of course their counterfeit Vodka is just mislabeled ammonia.

  • White vs Hispanic (Score:5, Interesting)

    by quenda ( 644621 ) on Thursday November 29, 2018 @10:36PM (#57723802)

    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?

    • by Anonymous Coward

      It was just in another large news outlet the other day that the suicide rates are the highest they've been in 50 years, and the vast majority of them are white males over the age of 14.

      The sad fact is that no media outlets or ethnicities will really care about it.

    • by Z80a ( 971949 )

      Tell a bunch of people that they're the responsible for every evil on the world due being born the wrong gender and race enough times and they may decide to "take care of the evil".

  • Decisions, Decisions (Score:5, Interesting)

    by nehumanuscrede ( 624750 ) on Thursday November 29, 2018 @10:48PM (#57723852)

    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 )

  • Cuba (Score:4, Insightful)

    by manu0601 ( 2221348 ) on Thursday November 29, 2018 @11:03PM (#57723892)

    [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 [wikipedia.org].

    • Re:Cuba (Score:5, Informative)

      by _Sharp'r_ ( 649297 ) <sharper@@@booksunderreview...com> on Thursday November 29, 2018 @11:38PM (#57724022) Homepage Journal

      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 [forbes.com]:

      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.

      • by aepervius ( 535155 ) on Friday November 30, 2018 @10:54AM (#57725754)
        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).
  • Courtesy of China (Score:4, Informative)

    by melted ( 227442 ) on Thursday November 29, 2018 @11:10PM (#57723906) Homepage

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

    • by fafalone ( 633739 ) on Friday November 30, 2018 @03:33AM (#57724596)
      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 [medium.com] 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.
      • by mentil ( 1748130 )

        Actually they desperately want to be seen as "doing something", no matter the cost to society. Ideally, something that'd actually pass, unlike sane comprehensive drug policy reform. Addressing the opioid epidemic was a plank of many political platforms this year.

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

      Yeah, and heroin usage spiked when we started cracking down on pill mills.

      Root-cause analysis points a lot of spiking drug usage back to when we allowed the Medical Industrial Complex to shove opium in a prescription bottle and then lobby to subsidize costs and make opioid addiction as cheap as possible for the masses.

      Yeah, we have someone to blame alright. It ain't who you think.

  • by wolfheart111 ( 2496796 ) on Thursday November 29, 2018 @11:15PM (#57723932)
    nothing that cant be fixed with Tech :)
  • by account_deleted ( 4530225 ) on Thursday November 29, 2018 @11:19PM (#57723942)
    Comment removed based on user account deletion
    • by urusan ( 1755332 )

      Too bad it's the young people who are needed to prop up the social security system who are dying in unusually large numbers...

    • Re:Good news (Score:5, Insightful)

      by CrimsonAvenger ( 580665 ) on Thursday November 29, 2018 @11:27PM (#57723970)

      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...

      • So what matters is the life expectancy at ~62 relative to the growth/decline of the population of ~15-45 years olds who will be funding their next ~20 years. Geezers dying from our awful healthcare system will help SSA, young folks giving up and committing suicide or OD'ing will not.

  • Famous last words in the past...
    Hey, watch this!

    Famous last words now...
    I've got an idea for an viral video! Let's try...

    (Hint - the Tide Pod challenge)

  • by jimbrooking ( 1909170 ) on Thursday November 29, 2018 @11:30PM (#57723980)
    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.
    • We also lead in greasy, cheap food and sedentary lifestyles. Much of the death increase is a result of success, including opiod addiction in a perverse way.

      Go look at the reasons again.

  • by SuperKendall ( 25149 ) on Thursday November 29, 2018 @11:50PM (#57724058)

    What's sad about this is the sole reason for the lowering is the large increase in drug overdoses [go.com].

    If we would just legalize drug use we could ensure people got help they needed instead of hiding the problem for fear of being arrested... and get safer drugs to boot.

    • I think that's a gross oversimplification of the problem, because not everyone wants help, and often times in my experience people can be in total denial about needing it at all, or just too ashamed regardless.

      Not only that if people are overdosing on medications they were prescribed in rising numbers too, legalisation doesn't really make much of a difference with those deaths. I think there's a much larger problem here than just saying: legalise it and people will know they need help when they do, actual
      • Only in America!
      • by SuperKendall ( 25149 ) on Friday November 30, 2018 @12:38AM (#57724200)

        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 [independent.co.uk] 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.

        • Claiming that Portugal "legalized" drugs is a bit misleading when what they de-criminalized was the possession of quantities clearly meant for personal consumption. The Netherlands did something similar, sans the extra money and effort into drug awareness and treatment, several years prior and they're well ahead of European averages in drug use and deaths. Not only that, in some parts of the country the police spends more than half of their time going after warring drug gangs.

          In other words it's kind of
    • Call me cold-hearted, but I don't see a big problem there.

      Where I see the problem is that there is a profound lack of non-addictive pain killers in the states. A lot of stuff that is commonly used in Europe is either not FDA-approved or had their approval removed because of some very uncommon side effects. Change that and the only people who overdose would be the ones who are using drugs voluntarily and if they don't care about their lives, why should I?

  • by aberglas ( 991072 ) on Friday November 30, 2018 @01:36AM (#57724336)

    USA numbers are bad because of the underclass of uninsured and un cared for people.

    But slash dot readers are middle class (despite their wingeing). and I think you will find that middle class Americans do just fine.

    Just don't ever get poor.

  • by jd ( 1658 ) <imipak@ y a hoo.com> on Friday November 30, 2018 @03:12AM (#57724538) Homepage Journal

    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.

    • So men from the he-man culture are dying? Why's everybody so upset? This is cause for celebration surely.
    • You might have noticed that the effin SUMMARY (no need to even read an article) states that the reasons are not natural, but artificial shortening of life, like suicide, murder and sickness. It's not a matter of diet or education, it's a matter of money.

    • Poor genetic health is a factor, with urban communities typically having better genes

      Ummm, what? You're actually claiming that rural folks are genetically inferior in some way? Got a link to back that up, or are you just stereotyping them all as inbreds?

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