After decades of improvement, life expectancy in America is no longer on the rise.
Over the past few years, the increasing longevity that was once the norm has stalled out. In 2015 American life expectancy actually declined, year-on-year, by about a month, shrinking to 78.8 years. So we read this week in the Wall Street Journal, under the headline “Nation’s Death Rate Rises as Progress Against Heart Disease Stalls,” and in USA Today’s dispatch, “Has U.S. life expectancy maxed out? First decline since 1993.”
Similar alarms have been clanging for some time now, including three stories in the New York Times last year: “Death Rates Rising for Middle-Aged White Americans, Study Finds”; a report this June on the broader trend, “First Rise in U.S. Death Rate in Years Surprises Experts”; and a story this September titled “Maternal Mortality Rate in U.S. Rises, Defying Global Trend, Study Finds.”
In story after story, we read about demographers and medical experts puzzling over what’s gone wrong. They point to heart disease, obesity, drug use, stroke, Alzheimer’s, suicide. The USA Today article notes that since World War II, it’s been rare to see a rise in U.S. mortality rates, and such spikes have usually been linked to highly specific events such as the spread of AIDS in the early 1990s, or a “nasty flu season” in 1980. By contrast, what we’re seeing now are rising mortality rates involving a broad range of causes, especially among middle-aged Americans.
Missing from all these accounts is a single word that ought to command unblinking attention: Obamacare.
Or, if you prefer the full title: The Patient Protection and Affordable Care Act of 2010, also known as the signature achievement of Obama’s first-term. It is a big part of his legacy, a cornerstone of his 2008 campaign promise of “fundamentally transforming the United States of America.” It is a big part of the legacy Obama is now urging President-elect Donald Trump to preserve.