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Economist Anne Case on Remedies for Falling US Life Expectancy

The United States is experiencing a startling trend, one that’s unique among high-income countries: starting around 2010, overall life expectancy plateaued and then began to decline, slowly at first and then precipitously during the COVID-19 pandemic. This decline is especially surprising considering that the United States, one of the richest countries in the world, spends more per capita on health care than almost all its peers. 
 
Prior to the pandemic, this trend was driven by an increase in mortality among Americans without college educations, who experienced higher rates of suicide, opioid overdoses, and alcohol-related deaths. Documenting and analyzing these self-inflicted deaths, the economist Anne Case (with Angus Deaton) coined the term “deaths of despair.”
 
Issues editor Sara Frueh spoke with Case to get her insights into the economic and social forces driving deaths of despair, the ways that current policy initiatives might affect working-class Americans, and how policymakers could start to generate meaningful paths forward for more US workers.

Read more about reducing deaths of despair by building “a society and an economy that respect and reward work of all kinds.”

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THE ONGOING TRANSFORMATION
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Can the bus be transformed into a mode of transit that people actually want to use? Brian Sherlock talks with Lisa Margonelli about redesigning the American bus.
INTERNATIONAL PUBLIC HEALTH
Making Gene Therapy Accessible
Changing the way gene therapy is supported and delivered, write Kevin Doxzen and Amy Lockwood, could help ensure that access to this treatment is more equitable.
HIGHER EDUCATION
Overlooking the Possibility of Massive Disruption
Universities face unprecedented challenges, writes Robert Frodeman. Can case studies of the world’s leading universities provide guidance about the future of higher ed?
Plus: Responding to Kevin Driscoll’s essay on the prehistory of social media, Tamara Kneese, Finn Brunton, Avery Dame-Griff, Kat Brewster, and Frances Corry recall the early internet’s bulletin board systems as spaces for small-scale, idiosyncratic, local, and sometimes in-person (!) communities.
📅 ONLINE EVENT: TUESDAY, NOVEMBER 29 📅
SCIENCE FICTION / REAL POLICY BOOK CLUB

John Scalzi’s short novel Lock In raises questions about the “real” world, accessibility and disability, public health funding, and much more. On Tuesday, November 29, join Future Tense and Issues in Science and Technology to discuss the story and its real-world implications.

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Issues in Science and Technology is a publication of Arizona State University and the National Academies of Sciences, Engineering, and Medicine.
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