The Health Foundation podcast

4: 'Deaths of despair': A tale of two countries – with Professor Sir Angus Deaton and Sarah O'Connor


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Life expectancy is a key indicator of our health and wellbeing. Across most OECD countries in the last ten years, life expectancy has been stalling – and stalling most in the US and the UK.

Last March, Professors Anne Case and Angus Deaton, two distinguished economists from Princeton University, published what became the must-read book of the year. That book was called Deaths of Despair and the Future of Capitalism. It showed that health has deteriorated fastest in middle-aged white Americans, and that in this population, death rates from all causes are actually rising. The biggest increases were in deaths from suicide, drugs and alcohol driven by a lack of opportunity, growing inequalities, and bleak social and economic outlook. The so-called ‘deaths of despair’.

In the meantime, here in the UK, The Marmot Review: 10 Years On was published last February looking at national health trends in England. The review revealed stalling growth in life expectancy nationally – and a reversal among people living in the poorer areas of England, in particular women.

Is this due to the public spending cuts of recent years, or a long-term structural trend? What needs to be done? And might the pandemic accelerate solutions?

In this episode, our Chief Executive Dr Jennifer Dixon is joined by two expert guests:
  • Professor Sir Angus Deaton, co-author of Deaths of Despair, and Emeritus Professor of Economics at Princeton University. Professor Deaton was awarded the Nobel Prize for Economics in 2015.
  • Sarah O’Connor, Employment Columnist for the Financial Times.
    Useful links:
    • The Health Foundation's COVID-19 impact inquiry
    • Deaths of Despair and the Future of Capitalism
    • Jennifer's book review of Deaths of Despair for Political Quarterly
    • The Marmot Review: 10 Years On
    • Left behind: can anyone save the towns the economy forgot?
    • Find out more about the Health Foundation podcast
    • Recommended reading:
      • White Working Class: Overcoming Class Cluelessness in America
      • Hillbilly Elegy: A Memoir of a Family and Culture in Crisis
      • Janesville: An American story
      • The Tyranny of Merit
      • American Overdose. The opioid tragedy in three acts
      • The Road to Somewhere. The New Tribes Shaping British Politics 
      • ...more
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