I. Mortality and Morbidity in the United States
and Other Rich Countries
We begin by dissecting changes in mortality and morbidity over space and
across age, sex, race, and education. This provides a set of facts to be
matched against potential explanations for the epidemic.
I.A. Documenting Mortality
Increasing midlife white mortality rates, particularly for whites with
no more than a high school degree, stand in contrast to mortality declines
observed for other ethnic and racial groups in the United States, and those
observed in other wealthy countries. Figure 1 shows mortality rates per
100,000 for men and women (combined) age 50–54 from 1999 to 2015.
We show separate mortality rates for black non-Hispanics (BNHs), for
Hispanics, and for all WNHs, as well as for the subset of WNHs with no
more than a high school degree. The top line shows rapid mortality decline
for blacks, while the bottom line shows that Hispanics continue to make
progress against mortality at a rate of improvement that, as we shall see,
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