The Corner

Health Care

Fewer ‘Deaths of Despair’ Increases U.S. Life Expectancy

Good news: U.S. life expectancy has increased. From the New York Times story:

Life expectancy increased for the first time in four years in 2018, the federal government said Thursday, raising hopes that a benchmark of the nation’s health may finally be stabilizing after a rare and troubling decline that was driven by a surge in drug overdoses.

Part of the reason for the improvement was a decrease in what are known as “deaths of despair:”

Deaths from overdoses dropped by 4.1 percent in 2018, to 67,367 from 70,237 in 2017. The decrease was largely driven by a dip in deaths from prescription opioid painkillers, which set off the opioid epidemic in the late 1990s before heroin and, later, fentanyl moved in. Provisional data suggests those deaths continued to fall in 2019, likely in part because of restrictions on prescribing.

Unstated, but perhaps a contributing factor, was the increasing prosperity we have enjoyed in country in recent years, with unemployment levels dropping into the subbasement. If people have hope of improving their lives, they are less likely to resort to addictive substances as a means of escape.

There were also improvements in fighting cancer with a 2.2 percent decline in mortality from the Big-C:

These improvements were driven largely by a decline in the mortality rate for lung cancer, the leading cause of cancer death. Continued drops in the country’s smoking rate and advances in treatment, such as more precise tumor classification, better surgical techniques, and improved drug therapies, contributed to the progress, Ms. Siegel said.

Despite this good news, we are still not where we need to be. We still have a suicide crisis on our hands as — bizarrely — efforts to legalize assisted suicide increase. And deaths by fentanyl increased. But at least we seem to again be heading in the right direction.

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