Are economic failures driving rising deaths of despair among working-class Americans?
Core argument: In 2017, 158,000 Americans died from deaths of despair — suicide, drug overdoses, and alcoholic liver disease — a trend concentrated among working-class white Americans.
In 2017, 158,000 Americans died from deaths of despair, including suicide, overdoses, and alcoholic liver disease, reflecting a troubling trend among working-class white Americans. This mirrors the experiences of Native Americans and Russian men post-Cold War, who faced similar declines in life expectancy. Economists Anne Case and Angus Deaton highlight that the decline in white lifespans since the late 1990s went largely unnoticed until 2015, despite its severity. The introduction of OxyContin in the mid-1990s and subsequent opioid crisis symbolize broader economic failures impacting the white working class. While Russian life expectancy has rebounded since 2005, the U.S. continues to grapple with this epidemic. The data suggests a complex interplay of economic, social, and health factors contributing to these deaths, underscoring the need for comprehensive policy interventions to address the root causes of despair in these communities.




Ed Comment:The angus book sounds silly. I think oxy deaths were caused by the unsupervised introduction of oxy and not by despair. We will learn from our mistakes (while the party you support stupidly legalizes marijuana and lets the criminals go) but we already lost a generation of addicts and won’t get them back.
“…the more I study the White Death of the past two decades, the more I am instead reminded of the tragic trajectory of a now much less publicized American race, Native Americans. Like American Indians, working-class white Americans seem to be living, and dying, like a defeated people, quietly offing themselves with so little to-do that nobody even noticed what was happening to working-class white lifespans for the first fifteen years of this century. Indians used to be admired by whites for having put up a strong fight for over 250 years, in contrast to blacks, who were relatively easy to dominate. But in this century, whites have lost interest in Indians, who also seem to have lost interest in themselves as the other Indians have come to play a much larger role in American life…..Another obvious analog to the White Death in America is how Russian men drank themselves into an early grave during their defeat in the Cold War. Case and Deaton note in passing that life expectancy for Russian males declined by 7.3 years between 1987 and 1994. But since 2005, Russian life expectancy has rebounded. As the US suffers from its epidemic of deaths, Russia appears to have overcome its own…. For example, why do blacks have shorter life expectancies in America than whites? For African Americans, there is widespread agreement that the worse outcomes, like so many other important outcomes, are tied to long-standing discrimination, as well as to poorer access to high-quality medical care. The superior longevity of Hispanics over non-Hispanic whites has been much researched but not fully explained. It is worth noting that other groups, such as Asian Americans, do better still, better than either Hispanics or whites.That would seem pretty interesting, but Case and Deaton then largely drop other races besides white and black at that point. “We do not try to tell a coherent story for,” they admit. They never return to trying to learn anything from the quite different life-expectancy trends of the five main races in the U.S. My impression is that the developments are: (1) Asians increasingly live, as comedienne Ali Wong says, forever. (2) Hispanics live much longer than you’d expect. (3) Whites die increasingly early. (4) Blacks were living longer until Black Lives Matter encouraged them to start shooting each other again. (5) American Indians are in free fall, except that old Native Americans tend to live a long time….”