Long-Term Trends In Deaths of Despair
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@SWinshi: “Deaths of Despair” are largely just opioid use. Drug-related deaths increased significantly since 2000, while suicides & alcohol-related deaths remain at levels similar to the mid-1970s.
Winship convincing argues that “deaths of despair” are actually just an opioid epidemic, see Figure 1. Full report is attached.
“…Self-reported unhappiness probably has been on the rise since around 1990 (though not all sources agree). That predates the increase in deaths of “despair” by a decade. Moreover,unhappiness likely fell over the 25 years preceding 1990, while deaths of despair rose and then plateaued. And one data source suggests stable levels of unhappiness over the long run. Rising unhappiness may have increased the demand for ways to numb or end despair, such that the cumulative effects show up years later in the form of higher death rates. But the proliferation of a uniquely addictive and deadly class of drugs has meant that the supply of despair relief has become more prevalent and more lethal, which would have increased mortality even absent an increase in despair. Given the lack of correspondence between trends in economic and social indicators, unhappiness, loneliness, and deaths of “despair,” it may be more productive for policymakers to focus on the overdose epidemic than on despair per se…”
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Director | Social Capital Project
Executive Director | Joint Economic Committee
Scott Winship, Ph.D.
I hope you find this report—and our research generally—useful. Best, Scott
This was the last report from Phase 1 of the Social Capital Project, which was purely descriptive. Later this month we will begin releasing policy papers with the goal of expanding opportunity by shoring up the health of families, communities, and civil society. If you’ll forgive me for sending another impersonal email, I will follow up with a summary of the flagship Phase 2 paper, “The Wealth of Relations,” which we released in the spring.
We didn’t have time to do a really deep dive on this, but so as to hopefully spur more research, we have posted a spreadsheet with detailed long-term trends by age, sex, and race:https://www.jec.senate.gov/public/index.cfm.
That trend doesn’t correspond neatly with deaths of “despair” trends (nor do trends in loneliness). We close by noting that few economic or social capital trends line up well either with the trend in deaths of despair or in unhappiness, and we suggest that focusing on the opioid epidemic itself should be a greater priority than focusing on despair per se.
Among other things, we show that suicides and alcohol-related deaths were as high or higher early in the 20th century as they are today and that drug-related deaths have been rising steadily for decades (but especially after 2000). Suicides and alcohol-related deaths have been rising since 2000 but are sitting at about the same levels as in the mid-1970s. We note major national and international events that clearly affect the trends (wars, epidemics, depressions). We question whether rising “despair” is the right way to think about the increase in these deaths. In another new contribution, we present 50-year trends in unhappiness, extending a series by Betsey Stevenson and Justin Wolfers:
I am writing because I thought you might be interested in the latest release from Senator Mike Lee’s Social Capital Project, within the Joint Economic Committee: Long-Term Trends in Deaths of Despair (https://www.jec.senate.gov/public/index.cfm/republicans/analysis). Anne Case and Angus Deaton, famously, demonstrated that deaths from suicides and alcohol and drug abuse have skyrocketed since the late 1990s among middle-age non-Hispanic whites. (They have spiked for other groups, too, but among this specific demographic, the rise was enough to increase overall mortality rates.) It was a ton of work, but we took their series (a version of it) back to 1900 for the overall population (and back to 1959 for middle-age whites):
Hello,
Scott Winship, “Long-Term Trends In Deaths of Despair,” United States Congress Joint Economic Committee, September 5, 2019, https://www.jec.senate.gov/public/index.cfm/republicans/analysis























