Neo-Darwinism in action: Gap in life expectancy widens

by: fladem

Sun Mar 23, 2008 at 23:02


Occasionally a story is written that defines the times.  Such a story appeared in the New York Times today:


One of the researchers, Gopal K. Singh, a demographer at the Department of Health and Human Services, said "the growing inequalities in life expectancy" mirrored trends in infant mortality and in death from heart disease and certain cancers...


Dr. Singh said last week that federal officials had found "widening socioeconomic inequalities in life expectancy" at birth and at every age level. ..

In 1980-82, Dr. Singh said, people in the most affluent group could expect to live 2.8 years longer than people in the most deprived group (75.8 versus 73 years). By 1998-2000, the difference in life expectancy had increased to 4.5 years (79.2 versus 74.7 years), and it continues to grow, he said


What are the reasons for the widening gap?
  • Better detection methods for cancer and heart disease are more readily available to the affluent
  • Smoking is less common among the affluent
  • The poor are likely to live in dangerous areas, engage in "risky behavior" and eat unhealthy diets
  • Lower income people are less likely to have health insurance

I thought this was a pretty amazing story. I am uncomfortable with how the Times described some of the factors causing this inequality.  For example, the link between diet and poverty is pretty well understood.  Nevertheless, a more damning indictment of our health system I could not imagine.

The right always argues that socialized medicine will lead us to "ration health care."  Of course, what they don't tell you, and what this article makes clear, is that markets are rationing health care just fine on their own. No, I have never thought that conservatives mind health care rationing so long as they get their health care.

To my surprise a review of the liberal blogs found nothing on the article.   Maybe I am wrong and this isn't such a big story.  But maybe, just maybe, we are so busy beating ourselves bloody over Obama versus Hillary that we are beginning to forget why we fight to begin with.  

fladem :: Neo-Darwinism in action: Gap in life expectancy widens

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Disturbing Story (0.00 / 0)
I found the story extremely disturbing.  There is no doubt that lack of health insurance is a major factor in the life expectancy differential.  Yet another reason why we need universal health care coverage.

Blast you! (0.00 / 0)
I was planning on writing a post on the social determinants of health.

I missed this article but I'm glad to see the topic getting attention.

The basic news is that not only do the rich have better health outcomes than the poor, but the rich have better health than the less rich, and they than the middle class.

It turns out that inequity matters in relative terms, not just absolutes.  

One study noted that Oscar winners live longer than Oscar nominees who don't win.  


Agree (0.00 / 0)
When you have 45 million people without any form of health insurance, you have de facto rationing of health care.


good diary (0.00 / 0)
We political junkies sometimes get too caught up in process stories to be following the issues as closely as we should be.

I recently read an article in Mothering magazine (no link, not available online) about the shockingly high rates of infant and maternal mortality in the U.S., compared to other industrialized countries.

Then the Des Moines Register cited a report from Families USA, which estimated how many people in various states die each week because they don't have health insurance:

http://www.desmoinesregister.c...

Iowa has a relatively low percentage of uninsured residents, but we still have an estimated three people a week die because they lack health insurance.

I am not at all surprised following a scary infection I had last month, which could have turned out very badly if I had delayed going to the doctor, as many uninsured people do:

http://www.dailykos.com/storyo...

Join the Iowa progressive community at Bleeding Heartland.


Unfortunately, This Is Not News (0.00 / 0)
The infant mortality rate for African Americans has long been comparable to Third World nations.

But even the infant mortality rate for white Americans is an outlier for industrial nations.

Seems like Martin Luther King, Jr. was right again: You cannot keep a man down in a ditch unless you linger there with him.

"You know what they say -- those of us who fail history... doomed to repeat it in summer school." -- Buffy The Vampire Slayer, Season 6, Episode 3


[ Parent ]
Thanks for posting (0.00 / 0)
I had earlier today printed it for use in my classes tomorrow.  I too had wondered why other folks on the progressive front weren't headlining this.  Glad I took a peek here before hitting the sack.  

Another Reason (0.00 / 0)
Another reason for the gap:

- You are much more likely to die on the job if you work in a construction site/paper mill/oil refinery/chemical plant/power plant/farm/etc.


Social Darwinism (0.00 / 0)
The problem is not that the philosophy of the Republican administration isn't working the way it's supposed to work, the problem is that it is working the way it's supposed to work.

They don't believe that government has a role in solving national problems because they believe that government is the problem.  They think we're better off if we just dismantle government.  

In the form of tax breaks, everyone is responsible for buying your own health care, your own retirement security, your own child care, your own schools, your own private security forces, your own roads, your own levees.

It is called the Ownership Society, in Washington. But historically there's been another term for it; it's called Social Darwinism.  The notion that every man and woman is out for him or herself.  

It's a bracing idea; the idea that you're on your own. But there's just one problem, it doesn't work.  It ignores our history.  Yes, our greatness as a nation is dependent on self-reliance and individual initiative, and a belief in the free market.  But it's also dependent on our mutual regard for each other. Our sense that we have a stake in each other's success.  That everybody should have a shot at opportunity.  Americans understand this.

Barack Obama - @ Take Back America Conference 2006
http://www.youtube.com/watch?v...


numbers (0.00 / 0)
While the widening gap certainly indicates the asymmetrical way in which gains in medical outcomes are distributed across the population, I am surprised that no one has pointed out that life expectancies for both groups have gone up. While inequality certainly has deleterious consequences for its own sake, this medical information doesn't seem very grim. Everybody's living longer, but the wealthy are living much longer. Not good, granted (one would want in a perfect world everyone to experience the same gains), but not a disaster.  

A quibble, but an important one (4.00 / 3)
Although the primary argument that conservative health care policy leads to health care rationing is correct, your use of the term Neo-Darwinism in the head is incorrect. Any association between the theories of Charles Darwin and neo-con ideology is  fallacious. Indeed, the phrase "survival of the fittest" that is so often used by conservatives to justify their dog-eat-dog vision of social order was never uttered by Charles Darwin and is not a bedrock principle of evolutionary science. I bring this point up not only to defend Darwin but also to point out the ridiculousness of conservatives who argue that political policies that benefit the rich at everyone else's expense is somehow the "natural order" of things.

Indeed - Survival of the most adaptable (0.00 / 0)
would be more appropriate.

Although, the very notion that modern economics is a "natural" system is somewhat misguided from the outset.


"It sounds wrong...
     ...but its right."


[ Parent ]
A Quibble on Your Quibble (4.00 / 1)
The Wikipedia article you cite on the phrase "survival of the fittest" says
It was used by Darwin in the 5th edition of The Origin published on 10 February 1869, in a secondary header of Chapter 4 about natural selection[1] and at several places in the text, mostly using the phrase "Natural Selection, or the Survival of the Fittest".

Still, I completely support your larger point that neo-cons have tried to justify classism by fallaciously trying to link their vicious policies to natural biological processes. There is no scientific justification for these policies.


[ Parent ]
He never uttered the phrase (0.00 / 0)
in the first four editions of The Origin. So I suppose I should have qualified that or found a better link than the Wikipedia article. That Darwin eventually included the phrase in some of his writings had more to do with confronting his critics than refining his theory of natural selection. And it's obvious that in nature there no such thing as a "fittest" in any given environment because there can be equally fit species for different reasons.
 

[ Parent ]
The article mentioned that this trend (0.00 / 0)
"mirrored" trends in infant mortality... but a higher infant mortality rate can explain a LOT about differences in life expectancy, since someone dying as a one year old or a two month old will drag average life expectancy at birth down much more than even someone dying at twenty.  

A two year gap certainly could be explainable almost entirely by infant mortality, right?  If I remember correctly, drops in infant mortality was the main thing that made life expectancies rise from the mid fifties to the seventies during the population boom in the 1800s, for example.


Poor Darwin (0.00 / 0)
The term "neo-Darwinism" has always bothered me. Darwin never said anything about using the theory of natural selection to apply to human social institutions. That was Herbert Spencer, who vulgarized Darwin's theory in an effort to give his elitist doctrines a veneer of scientific credibility. It should really be "neo-Spencerianism." Actually, drop the "neo-". It just should be "Spencerianism."





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