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The Inquiry

What's Killing White American Women?

The Inquiry

BBC

News Commentary, News

4.61.7K Ratings

🗓️ 10 May 2016

⏱️ 23 minutes

🧾️ Download transcript

Summary

The rich world has got used to health and longevity getting better, and death rates falling – for everyone. But over the past few years data has been accumulating which suggests that this trend has stopped for poorly educated, white Americans. And for one group in particular - middle-aged women – death rates are going up. It’s a shocking finding, meaning many will die at a younger age than their mothers. What’s happening? Certainly, life is tough for many low-income American families. “What the data look like,” says the economist Paul Krugman, “is a society gripped by despair, with a surge of unhealthy behaviours and an epidemic of drugs.” Is he right? Are the conditions of working class life in America killing white women?

Presenter: James Fletcher

(Image: A cemetery in Gloucester, Massachusetts. Credit: Getty Images)

Transcript

Click on a timestamp to play from that location

0:00.0

BBC World Service, this is James Fletcher with the Inquiry.

0:07.0

This week we're trying to solve a mystery.

0:10.0

It's a mystery found in data, and it's hard to communicate data on radio.

0:14.7

But here's our colleague Neil Rizel doing his best.

0:17.8

This is the sound of good news.

0:24.0

It's falling adult mortality rates from the World Health Organization.

0:29.0

Countries are presented as a series of three notes.

0:32.0

The first is from the year 1990, the second,

0:36.2

2000, the third, 2013. High notes are high mortality, low ones are low.

0:44.0

China, India, Egypt, Brazil, Indonesia, even Somalia, and rich countries, Germany, Kuwait, Australia, and the US.

1:07.0

But researchers there found a remarkable exception.

1:10.0

Did you catch that? For one group of Americans mortality is rising. That group are

1:20.9

less educated white women.

1:24.1

And that's unprecedented.

1:26.1

Around the world, people are living longer than ever before,

1:30.0

but for this subset of the US population, death rates are rising.

1:35.5

This week our question is simple. Why?

1:42.3

Part one, a stunning reversal.

1:47.0

I think many of us have an assumption of inevitability in terms of mortality trends.

1:58.0

Things are supposed to be getting better.

2:00.0

Our first expert witness is Jennifer Karas Montez from Syracuse University in New York State.

2:07.0

She's been studying mortality for 10 years.

...

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