Morning Briefing
Summaries of health policy coverage from major news organizations
As 'Deaths Of Despair' Among White Adults Spike, Researchers Identify Root Causes
Sickness and early death in the white working class could be rooted in poor job prospects for less-educated young people as they first enter the labor market, a situation that compounds over time through family dysfunction, social isolation, addiction, obesity and other pathologies, according to a study published Thursday by two prominent economists. (Achenbach and Keating, 3/23)
In 2015, when researchers Ann Case and Angus Deaton discovered that death rates had been rising dramatically since 1999 among middle-aged white Americans, they weren't sure why people were dying younger, reversing decades of longer life expectancy. Now the husband-and-wife economists say they have a better understanding of what's causing these "deaths of despair" by suicide, drugs and alcohol. (Boddy, 3/23)
Mortality has been rising since the turn of this century for an even broader swath of white adults, starting at age 25, the researchers found, driven by troubles in a hard-hit working class. Death rates for white non-Hispanics with a high-school education or less now exceed those of blacks overall, the pair said鈥攁nd they鈥檙e 30% higher for whites age 50 to 54 than for blacks overall of that age. (McKay, 3/23)
"This is a story of the collapse of the white working class," [Angus] Deaton said in an interview. "The labor market has very much turned against them." Those dynamics helped fuel the rise of President Donald Trump, who won widespread support among whites with only a high school degree. Yet Deaton said his policies are unlikely to reverse these trends, particularly the health care legislation now before the House that Trump is championing. That bill would lead to higher premiums for older Americans, the Congressional Budget Office has found. (Rugaber, 3/23)