Daily Archives: September 3, 2013

Life Expectancy of Poorly Educated White Women Drops a Lot

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Apparently there has been a significant decline in life expectancy of poor white women who dropped out of high school. In the past 18 years they have lost 5 years of life expectancy. They now have a lower life expectancy than African American women who have dropped out of high school. In many ways the article is frustrating, but here’s the meat of it:

The journal Health Affairs reported the five-year drop in August. The article’s lead author, Jay Olshansky, who studies human longevity at the University of Illinois at Chicago, with a team of researchers looked at death rates for different groups from 1990 to 2008. White men without high-school diplomas had lost three years of life expectancy, but it was the decline for women like Crystal that made the study news. Previous studies had shown that the least-educated whites began dying younger in the 2000s, but only by about a year. Olshansky and his colleagues did something the other studies hadn’t: They isolated high-school dropouts and measured their outcomes instead of lumping them in with high-school graduates who did not go to college.

The last time researchers found a change of this magnitude, Russian men had lost seven years after the fall of the Soviet Union, when they began drinking more and taking on other risky behaviors. Although women generally outlive men in the U.S., such a large decline in the average age of death, from almost 79 to a little more than 73, suggests that an increasing number of women are dying in their twenties, thirties, and forties. “We actually don’t know the exact reasons why it’s happened,” Olshansky says. “I wish we did.”

One factor the article barely mentions is access to health care. That’s the first thing I wanted to know — do these women have access to health care? It’s unlikely they’ll find jobs with benefits, so are they on Medicaid? The article doesn’t say. Duh.

The “example” the article focuses on, a morbidly obese woman who died at 38 of natural causes, had been told by a doctor that she was diabetic, and she was “waiting to get medicine.” How long had she been waiting? What was the holdup? See what I mean by frustrating?

I also wanted to know if there was a difference between women in this demographic who lived in cities/suburbs and those who lived in rural areas. It’s so much easier to become really isolated if you live in rural America.

The story focuses on a family in northern Arkansas. I know the area slightly, and it’s not much different from where I grew up. The girls who get pregnant in high school drop out and spend the rest of their lives taking care of children and maybe a neglectful husband or a succession of boyfriends, and no one takes care of them. Often the family/community support that sustained their grandmothers is pretty much gone. If there is any part of our population that constitutes a canary in a coal mine, it’s them.

The Missing Virtue — Sustainability

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Sustainability is a word that should be on everyone’s tongue these days, because it’s a virtue that we really, really, really need to cultivate if we’re going to survive as a nation, or as a species, or possibly as a planet.

Tom Philpott writes about the way maximum agriculture on the Great Plains is draining the region’s aquifer. I’ve read about this elsewhere, and it’s very, very frightening. And it’s not just the Great Plains; major aquifers in North America are being drained faster than they can re-fill.

… they’re on the verge of essentially sucking dry a large swath of the High Plains Aquifer, one of the United States’ greatest water resources. The researchers found that 30 percent of the region’s groundwater has been tapped out, and if present trends continue, another 39 percent will be gone within 50 years. As the water stock dwindles, of course, pumping what’s left gets more and more expensive—and farming becomes less profitable and ultimately uneconomical. But all isn’t necessarily lost. The authors calculate that if the region’s farmers can act collectively and cut their water use 20 percent now, their farms would produce less and generate lower profits in the short term, but could sustain corn and beef farming in the area into the next century.

Philpott points out that another part of the problem is that much of this agricultural effort is being put into raising corn and only corn, because that’s in demand. And most of this corn gets fed to cattle. See also “Wells Dry, Fertile Plains Turn to Dust.”

So we’ve got unsustainable agriculture, an unsustainable economy, unsustainable politics, and unsustainable energy sources on our increasingly unsustainable planet. Something’s got to stop.