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United States

US Life Expectancy Falls Again In 'Historic' Setback (nytimes.com) 289

An anonymous reader quotes a report from The New York Times: The average life expectancy of Americans fell precipitously in 2020 and 2021, the sharpest two-year decline in nearly 100 years and a stark reminder of the toll exacted on the nation by the continuing coronavirus pandemic. In 2021, the average American could expect to live until the age of 76, federal health researchers reported on Wednesday. The figure represents a loss of almost three years since 2019, when Americans could expect to live, on average, nearly 79 years. The reduction has been particularly steep among Native Americans and Alaska Natives, the National Center for Health Statistics reported. Average life expectancy in those groups was shortened by four years in 2020 alone. The cumulative decline since the pandemic started, more than six and a half years on average, has brought life expectancy to 65 among Native Americans and Alaska Natives -- on par with the figure for all Americans in 1944. In 2021, the shortening of life span was more pronounced among white Americans than among Black Americans, who saw greater reductions in the first year of the pandemic.

White Americans saw the second-largest decline in average life expectancy in 2021, a drop of one year, to 76.4 in 2021 from 77.4 in 2020. The decline was steeper than that among Black Americans, at seven-tenths of a year. That was followed by Hispanic Americans, whose life expectancy dropped only two-tenths of a year in 2021. But both Black and Hispanic Americans were hit hard in 2020, the first year of the pandemic. Average life expectancy for Hispanic Americans fell by four years, to 77.9 from 81.9 in 2019. The figure for Black Americans declined almost as much, by more than three years to 71.5 years in 2020. White Americans experienced the smallest decline during the first year of the pandemic, a drop of 1.4 years to 77.4 from 78.8. For white and Black Americans, life expectancy is now the lowest it has been since 1995, federal researchers said. Asian Americans held the highest life expectancy among racial and ethnic groups included in the new analysis: 83.5 years, on average. The figure fell only slightly last year, from 83.6 in 2020.
Americans suffer from what experts have called "the U.S. health disadvantage," an amalgam of influences that erode well-being, Dr. Woolf said. "These include a fragmented, profit-driven health care system; poor diet and a lack of physical activity; and pervasive risk factors such as smoking, widespread access to guns, poverty and pollution," says the report.

"The result is a high disease burden among Americans, and shorter life expectancy compared with that in comparable high-income nations over the last two decades."
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US Life Expectancy Falls Again In 'Historic' Setback

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  • It seems much more appropriate to compare across sex and socioeconomic factors than by race. Many leading factors are more related to whether a person is a mechanic or steel worker or an office worker, employed or not, divorced or still married than to whether a person is white or black. Even if you want to argue race correlates with these things it's a cleaner measure to compare them directly.
    • It is a cleaner measure to compare those things directly if done accurately. It's also a very hard measure to make. After all, people tend to do things like change situations and careers throughout life. Their race doesn't change. So yes it would be nice to have the measure about which you talk, but the number of factors for which one would have to control would make it hard to get.
  • Won't improve (Score:5, Insightful)

    by RitchCraft ( 6454710 ) on Wednesday August 31, 2022 @10:57PM (#62842107)
    This won't improve until we shit can the horrible health care system we have in this country. Profit driven bull shit. Do no harm ... yeah right.
    • we pay for the rest of the world to drug price cap's

      • by sjames ( 1099 )

        And we will continue to pay until we decide to stop being a punching bag and implement price caps of our own.

    • Nice try (Score:4, Insightful)

      by tiqui ( 1024021 ) on Thursday September 01, 2022 @02:36PM (#62844219)

      US life expectancy rose dramatically while the US had for-profit healthcare, and the rate of the rise has reduced as government involvement in healthcare has increased. At his point, with Obamacare in place, government is fully involved in all US healthcare with government control over the types of health policies that can be bought, how much they can cost, and when they can be bought. Certainly nobody can argue with a straight face that the US healthcare system has been free of government intervention over the past two years as life expectancy has taken a huge hit. ("free" vaccines, "free" masks, "free" test kits, lockdowns, vax and mask mandates, [anti]social-distancing, CDC and NIH driven COVID policies, billions of dollars pipelined into vaccine companies, billions of tax dollars poured into hospitals and morgues for handling COVID patients/victims, government payouts to companies as their employees stay home for health reasons, etc)

      This is the point at which somebody always pops up with the line "healthcare is a human right"... which seems right when analyzed at the level of a four-year-old child but is obviously false; "human rights" cannot require the labor of other people. My natural right to free speech does not require anybody else to do anything. My right to self defense, my right to religious freedom [the right to think and believe what I want], my right to not self-incriminate, my right to not be unreasonably searched, etc do not require any other person to provide anything. Healthcare is VERY different - it requires human labor (the work of a doctor, nurse, pharmacologist, etc) and probably equipment/supplies (which required people to obtain and process raw materials and then make and transport the results). These things cannot, by definition, be "free" - SOMEBODY must do labor to obtain them. If those providers must provide them at no cost, then they must be slaves (hardly a "human right") and if THEY are not slaves and will be paid then SOMEBODY else will have to be forced to work to provide the money - thus making THOSE people into slaves, providing they are not being compensated.

      We might all want healthcare to be universally provided, and we might all agree that society should provide it and should spread the costs broadly - and make them some sort of right of citizenship, or societal right, etc but this is not the same thing as a "human right" (sometimes referred to as a "natural right" or a "God-given right"). These distinctions matter, because they help shape the policies implemented.

  • by geekymachoman ( 1261484 ) on Wednesday August 31, 2022 @11:00PM (#62842115)

    "From 1999 –2000 through 2017 –March 2020, US obesity prevalence increased from 30.5% to 41.9%. During the same time, the prevalence of severe obesity increased from 4.7% to 9.2%. (NHANES, 2021)" link [cdc.gov]

    This is just obesity, being 20-40 pounds overweight, while not extreme as being obese, is also very bad, and the problem is people that are 20-40 pounds overweight actually think they are doing OK, comparing themselves to the obese. In IT it's rampant, especially among the older, and everybody is dismissive of it like "oh, it's just age...". No it's not, it's laziness, bad food, and lack of desire to move.

    Somehow we normalized it all, especially since such a large percentage of people are now overweight, we have ads on TV with fat people advertising whatever product. Of course life expectancy falls... what the hell people expect? Drinking coke and eating chicken fried in 2 week old oil is OK?

    They did, and they do... And they will take their kids to have a "happy meal", turn them too into an overweight mess that their parents are. Hey, it's normal now!

    • by Iamthecheese ( 1264298 ) on Wednesday August 31, 2022 @11:06PM (#62842131)
      Bad food is the main factor. Bad food is less expensive, tastier, and more available.These factors all need to be addressed, starting with corn subsidies.
      • by serviscope_minor ( 664417 ) on Thursday September 01, 2022 @06:41AM (#62842775) Journal

        Particularly the more available part. Uncooked ingredients can be had cheap.

        With skill, knowledge, time and storage space, it won'tbe more expensive. All of those are in short supply especially if you are lower income and have to work a lot to make ends meet. Last thing you have time and energy for is an hour (minimum) of meal prep. It's basically more work.

      • Bad food is not the factor. Most fat people get too few calories and end up being both obese and having osteopenia. The largest endocrine gland in the human body is skeletal muscle. Health declines because we don't have enough of it. We used to do jobs that involved lifting heavy stuff. Now we don't. Even on slashdot where we are generally data-driven, this tripe still gets repeated. I don't know *your* situation but most of the talk about nutrition comes from skinny-fat self-righteous people who thi
    • by rsilvergun ( 571051 ) on Wednesday August 31, 2022 @11:08PM (#62842139)
      But our cities are completely unwalkable and we work longer hours than the japanese. Under the circumstances you snack to keep your energy levels up. We also have more fast food restaurants per capita than any country on the planet. In Japan or Korea yeah you can find junk food on the street but you can also find small restaurants little serve a fairly healthy meal of fish and Rice and vegetables. If I want something like that in America I'm paying $20 or $30 or I'm making it myself which after a 12 to 15 hour shift is a no-go.

      The Asian countries are managing the work long hours without the weight gain because they have easier access to healthy foods that are prepared for them, more walkable cities and absolutely collapsing birth rates. Meaning they don't come home and have to spend hours taking care of the kids after a long day at work. My birth rates are below sustainability but they're still well above which you'll find in Japan or even South Korea.

      Basically there are reasons why obesity is a problem and it's not just because Americans are fat pigs we eat too many Whoppers and Big Macs. You'll find as you move up the socioeconomic ladder and people work less hours and have more security and more time to take care of themselves obesity goes down.
      • 85% with you on your post, the only thing that is out of left field is the birth rate thing. Looking after kids is not linked to being obese. Quite the opposite. It's actually hard work and effort. Running around, cleaning up after them, cooking, doing extra laundry, etc. People who actually look after kids are at a significant exercise advantage compared to their single counterparts who may just sit at home and vegetate at the TV.

        • as for linking it, anyone who published that study would be vilified more than Hitler. We don't have a lot of major taboos in America, but discussing how rough and miserable parenthood is for anyone not wealthy enough to afford a housewife (or househusband [wikipedia.org]) is one of the major ones. Partly because you don't want the kids to pick up on any resentment you have for the life changes and partly because if we talked to kids about how hard it is to have children the birth rate would drop even more, and we need kid
      • Do you work 12 hours shifts? Or 15 hours?

    • "From 1999 –2000 through 2017 –March 2020, US obesity prevalence increased from 30.5% to 41.9%. During the same time, the prevalence of severe obesity increased from 4.7% to 9.2%. (NHANES, 2021)" link [cdc.gov]

      Obesity isn't the leading cause of death.

      Fentanyl overdose is the leading cause of death.

      • Re:A bigger elephant (Score:5, Informative)

        by ISayWeOnlyToBePolite ( 721679 ) on Wednesday August 31, 2022 @11:41PM (#62842219)

        "From 1999 –2000 through 2017 –March 2020, US obesity prevalence increased from 30.5% to 41.9%. During the same time, the prevalence of severe obesity increased from 4.7% to 9.2%. (NHANES, 2021)" link [cdc.gov]

        Obesity isn't the leading cause of death.

        Fentanyl overdose is the leading cause of death.

        https://www.cdc.gov/nchs/fasta... [cdc.gov] :

        Leading Causes of Death
        Data are for the U.S.

        Number of deaths for leading causes of death
        Heart disease: 696,962
        Cancer: 602,350
        COVID-19: 350,831
        Accidents (unintentional injuries): 200,955
        Stroke (cerebrovascular diseases): 160,264
        Chronic lower respiratory diseases: 152,657
        Alzheimer’s disease: 134,242
        Diabetes: 102,188
        Influenza and pneumonia: 53,544
        Nephritis, nephrotic syndrome, and nephrosis: 52,547

        • Re:A bigger elephant (Score:4, Interesting)

          by timeOday ( 582209 ) on Thursday September 01, 2022 @12:02AM (#62842251)
          I am not sure what's going on there since the CDC also says Drug Overdose Deaths in the U.S. Top 100,000 Annually [cdc.gov] (Nov 2021).

          But also the leading causes of death are not necessarily the biggest influences on longevity. Things that kill younger people have a disproportionate effect on longevity since they cut off more years. The average age at death from Alzheimer's is 86 years old [statcan.gc.ca] (in Canada) so on average you actually have to live longer than normal to die from it.

          For men under 44 the 3 leading causes of death [cdc.gov] are injuries, suicide, and homicide, in that order. I'm wondering if overdoses are categorized as unintentional injuries.

          • I'm wondering if overdoses are categorized as unintentional injuries.

            Yes, they are accidental unless they're suicides or homicides. Those three categories cover all forms of poisoning, including overdosing on legal or illegal drugs.

          • Re: (Score:3, Informative)

            by Opportunist ( 166417 )

            The reason why the leading causes of death under a certain age are violent or self-induced is simply that our medical system is good enough that you don't die from pneumonia or tuberculosis at the ripe age of 40.

            It's the same skewed view that we get about people lamenting how we all die of cancer and heart attacks. Yes, we do. Mostly because we already eliminated everything else that could get us first. Same for the homicide, suicide and accident statistics for people under 40: There isn't much in terms of

      • Re:A bigger elephant (Score:5, Informative)

        by thegarbz ( 1787294 ) on Thursday September 01, 2022 @02:46AM (#62842505)

        Obesity isn't the leading cause of death.

        Fentanyl overdose is the leading cause of death.

        No that's not even close. Heart disease (700k/year) has 7x the yearly death toll than all drug overdoses combined, and close to 10x higher than opioid based drugs.

        Opioid overdoses (around 65k/year) would be about number 8 in the list of leading cause of death, but they aren't listed separately. They are lumped in with the CDC stats as "accidental death" which is the 5th most prevailing cause of death at around 200k / year and include not only opioids, but all drugs and non-drug related accidents as well.

    • None of this is normalized. Most people can't do anything about it.

      You try taking a bus to go hiking on weekends when you have two kids who can hardly walk and then tell us all how someone normalized this.

      I've tried to get my city to update the bike system for 20 years now. They'll sooner spend a million bucks saving the prairie dogs then investing in a $50k soccer field, or $500k bike trail across the city.

      No one cares, and if they do, they don't have the money.

      --
      The only thing that saves us from the bu

      • And none of this stops individuals who prioritize it even a little from maintaining their health. You don't *need* biking trails to ride a bicycle. You can get a training stand for a few hundred dollars.

        A membership to a Crunch Fitness costs $16.99 per month "all-in."

        When people say they don't have access to activity they mean they don't have access to their preferred activity in the exact way they imagine it would be fun. Of course, even if they did, they would quickly realize that training is a lot

  • by rsilvergun ( 571051 ) on Wednesday August 31, 2022 @11:04PM (#62842125)
    And we don't have guaranteed access to healthcare meaning a lot of illnesses that are easy to treat go untreated until they're no longer easy to treat.

    The problem is it's cheaper to be a good person but it's more profitable to be a bad person and Americans took that fact and ran with it
  • Yep (Score:4, Interesting)

    by ArchieBunker ( 132337 ) on Wednesday August 31, 2022 @11:05PM (#62842127)

    The rest of the civilized world realized healthcare is a human right. Here in America the leading cause of bankruptcy is medical debt. Then we have prescription drug prices. I can take a round trip flight to Germany for insulin and it’s still cheaper than paying out of pocket.

    • Re:Yep (Score:5, Interesting)

      by jacks smirking reven ( 909048 ) on Thursday September 01, 2022 @12:25AM (#62842307)

      Seriously, it's a sad fact that we can all probably name at least a couple movies or shows where the driving conflict of the plot is someone needs to raise money for an exensive medical treatment to save a life and it's treated as just the way things are.

    • Re:Yep (Score:4, Insightful)

      by Opportunist ( 166417 ) on Thursday September 01, 2022 @12:36AM (#62842335)

      Friend of mine from the US came over here in Europe and had to go to a dentist because of a crippling tooth ache. Didn't want to at first because his insurance won't cover it, but eventually it turned out that he paid less without any insurance for the treatment than he would have in the US, and he also liked the result better than the work he had done in the US.

      The US medical system needs an overhaul. There's simply too much going wrong when a "socialist" system is superior.

      • Re:Yep (Score:5, Insightful)

        by Orgasmatron ( 8103 ) on Thursday September 01, 2022 @01:35AM (#62842439)

        It isn't that one system is socialist and the other isn't socialist. It is two different methodologies of socialism.

        In America, during WWII, our socialist government imposed price controls, including the price of wages. To compete, employers started to offer benefits.

        After the war, the tax code was changed so that employers paid less in taxes for providing medical care than they would pay if they instead gave that money to their employees, who could then use it to buy medical plans.

        Fast forward a few decades, and virtually no one who consumes medical care pays their own bills. On the supply side, cost and billing are of no concern to the providers - those functions generally don't even happen in the same building as the medical care.

        Since no one involved with the treatment is paying, there is no pressure for making sensible decisions. If a rare someone comes in and wants to control their own costs, they find it basically impossible because no one knows how much anything costs.

        Imagine a restaurant where there are no prices listed. None of the employees in the restaurant have any idea, generally not even with an order of magnitude or two, how much anything costs. Instead, you eat, then weeks or months later a computer in a different state will print out what amounts to a random number and call that your bill. There are stories about $45 dollar glasses of water, and $380 napkins. And sometimes you get a second bill months after that from a radiologist who glanced at the server's tray before it arrives at your table. Would you ever eat there? Does that sound like a "free market" to you?

        That is basically where we are today, and I'm only scratching the surface. The process whereby a medical plan negotiates rates with medical care providers would make Kafka cry. I won't get into that here, but I'll give you a hint - none of the negotiated prices have anything to do with actual costs - none of which can even be guessed at by now.

        • Then why does it work in Europe? People here generally barely pay anything or even nothing for any kind of treatment, from medication to complex heart surgery.

          • Because in Europe, the bills are covered by taxpayers and there are government authorities who do look after prices.
      • Re:Yep (Score:4, Interesting)

        by serviscope_minor ( 664417 ) on Thursday September 01, 2022 @02:20AM (#62842481) Journal

        Dentistry is uniquely fucked in the US.

        During my time there I had multiple friends get awful results often involving some kind of elaborate dental surgery which American dentists seem obsessed with. People were getting all sorts of unnecessary work foisted on them. Usually quite brutal too.

        Terrified me into never going to the dentist there that's for sure. I went whenever I visited home.

      • While on holiday in Croatia my wife lost a tooth cap. The dentist apologized about the high cost of glueing it back and the total bill was about $20.
      • Every time you pay a medical bill in the United States, you're paying for your own care plus little bits of pieces of numerous other bills that never went paid or that only got paid in piecemeal. And yes this especially includes gubment plans like Medicaid and Medicare.

        Medicaid's payout rate was 88% in 2020. Medicare is at around 80% (not sure which year that data is for, but it's recent). Somebody has to make up the difference. That's you, pal.

    • Just pop up to Canada, like thousands of US seniors already do regularly when they need affordable medication to save their lives. It's closer than Germany, and mostly we speak English.

    • You can't have a "human right" to someone else's work unless you paid them for it, nor can you have a right to force someone else to pay for you. They have human rights too.
  • by GotNoRice ( 7207988 ) on Thursday September 01, 2022 @12:37AM (#62842339)
    Did people expect life expectancy to go UP during a pandemic? Of course it went down.
    • So did US life expectancy go down more or less that of developed countries that were also afflicted with COVID? (Hint: If you're American, you won't like the answer).

  • From the summary: "The result is a high disease burden among Americans, and shorter life expectancy compared with that in comparable high-income nations over the last two decades."

    I think we need to question whether high income is an appropriate measure of whether or not a country actually deserves First World status. Some Third World countries are very wealthy, but their society consists of an incredibly rich upper class supported by near-slaves who live in abject poverty.

    I would be remiss not to point o

  • Ok, before we blame it all on the US health system (which I admit is not perfect) causing the life expectancy of US citizens to go down during the pandemic, can anyone point to countries that have such a perfect health system that their citizen's life expectancy went up during the pandemic?
    • point to countries that have such a perfect health system that their citizen's life expectancy went up during the pandemic?

      The Nordic countries: Norway, Denmark, Sweden kept a small positive change; Finland and Iceland saw no significant change. https://doi.org/10.1093/ije/dy... [doi.org] see figure 2 and figure 5. But the point here is not that it was supposed to increase, it is that USA was the developed country (among 30) where the life expectancy has most decreased in the pandemic, and it is worth of interest to look into what factors could explain this result.

      • No, the Nordic countries EXCEPT Sweden: Denmark, Norway, Finland and Iceland all improved under covid, but not Sweden. Sweden fucked up covid.

  • Downturn due to NOT taking COVID shots ? If you had COVID w/o boosters, you may have longterm health issues.
  • Quit pretending that violent crime is a medical issue. It doesn't matter what was involved in a crime, it is a matter for the police, not doctors.

    Stop the BS. This is nothing but an attempt do do an end-run around the Constitution by framing an explicit right as a threat to public health. Not ONCE does the word "crime" appear in the article, they're too busy blaming the existence of objects for the impact of that intentional human behavior.

    I condemn Woolf and the rest of his petty-tyrant ilk for this

  • by PPH ( 736903 ) on Thursday September 01, 2022 @10:43AM (#62843455)

    Booze. You lock businesses down (except for cocktail lounges and liquor stores) and people sit and drink. The above populations are particularly susceptible to the effects of alcohol. Something to do with the genetics of their Asian ancestry I think.

    Not that it's totally a problem with our indigenous peoples. We have probably lost a few decades of "drink responsibly" education among white folks as well, judging by the number of drunks on the highway.

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