Americans need to recognise just how many of their compatriots’ lives are being squandered. Too often politicians have been slow to raise a fuss. As a result, their country has come to tolerate an obscene level of early deaths
in 2017 Donald Trump rejected the uplifting vision of America that such ceremonies usually extol. Instead he warned of “American carnage”, painting a picture of industrial devastation and lives stolen through crime, gangs and drugs. In office Mr Trump hardly managed to change the country for the better. But on “American carnage” he had a point: too many Americans are dying too young.
By far the biggest killers in America are heart disease and cancer, despite some of the world’s best cancer care. That reflects unhealthy lifestyles as well as shortcomings in disease prevention and unequal access to health care. Obesity is a global problem, but America’s rate is double the rich-countryThe most striking divergence between America and its peers, however, with an outsize impact on life expectancy, is in violent deaths, especially of young men.
Moreover, not all Americans are equally at risk. The poor are particularly vulnerable. Startling falls in life expectancy have occurred mostly in left-behind parts of the South and the central heartlands, rather than on the coasts. Such variation is not unique: in, life expectancy for men between a posh and a poor part of London just 10km apart varies from 92 years to 74.
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