Today ScienceDaily brought the troubling news that, “There was a steady increase in mortality inequality across the US counties between 1983 and 1999, resulting from stagnation or increase in mortality among the worst-off segment of the population.” The full article is PLoS Medicine Vol. 5, No. 4, e66 doi:10.1371/journal.pmed.0050066. ScienceDaily quotes the authors,
Ezzati said, “The finding that 4% of the male population and 19% of the female population experienced either decline or stagnation in mortality is a major public health concern.” Christopher Murray, Director of the Institute for Health Metrics and Evaluation at the University of Washington and co-author of the study, added that “life expectancy decline is something that has traditionally been considered a sign that the health and social systems have failed, as has been the case in parts of Africa and Eastern Europe. The fact that is happening to a large number of Americans should be a sign that the U.S. health system needs serious rethinking.”
I question whether it’s just the health system that requires rethinking. Health is part of a complex system of income and wealth, education, and lifestyle choices: