2/ First, among less-educated black Americans, mortality rates are declining. As the paper points out, this is in large part due to reductions in deaths from heart disease and cancer.
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3/ Second, less-educated white Americans have also experienced gains in these areas. But these gains have been offset by spiking rates of opioid addiction, suicide, and alcohol-related liver disease.
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4/ This “deaths of despair” trend line has of course sounded major alarms by dragging overall US life expectancy in the wrong direction.
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5/ On net, the black/white mortality gap has closed for every 5-yr age cohort between the 25–29 and 50–54 age groups—due both to mortality declines for black Americans, and mortality increases for white Americans.
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6/ How big is the historical racial disparity in mortality rates in the US? Well, closing the gap has required reductions in mortality among black Americans *and* an unprecedentedly fatal and terrible mix of epidemics disproportionately affecting white Americans.
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7/ This latter phenomenon is obviously not how we’d like to see black/white mortality gap closed. How can we turn the tide on deaths of despair and maintain the reductions in the race-based mortality gap, with all people moving in the right direction toward better health? /end
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