We all die and, despite some fanciful ideas to the contrary, we will, as a species, continue to do so. Our daily routines tend to distract us from this fact. However, because death is inevitable, we need to think about how we can live healthy lives, without ignoring how they end. Once we accept that […]
Pretax incomes for the poorest 50% of Americans have stayed mostly unchanged for the past 40 years, widening income gaps in the country. We leave the question of why inequality matters for the economy to others. What is of concern to us is whether income inequality matters to our health, and, to the extent that […]
Immigration is neither a new issue nor an exclusively American one. In 2017, there were more than 250 million immigrants living worldwide, and about 2.4 million people migrate across national borders each year. Migration also occurs within national borders—it is estimated that more than 750 million people live within their country of birth, but in a […]
Near the end of 2018, data released by the Centers for Disease Control and Prevention showed that a small, but growing, number of children in the United States were not getting recommended vaccinations. One in 77 infants born in 2017 did not receive any vaccination. That’s more than four times as many unvaccinated children as the country […]
The United States spends an inordinate amount of money on health care. Much of this spending goes to data acquisition, to medical monitoring, and to assessment of how our health systems function. But are there other areas where money devoted to gathering health data might be better spent? Our health is a product of the […]
In recent years, global environmental climate change has become a third rail in American culture, dividing us along political lines. The Republican party espouses a range of positions, from the denial of climate change (the earth is not getting warmer) to denial of our role in causing the problem (even if climate change exists, humans […]
Americans spend more money on health than anyone else in the world, yet they live shorter, less healthy lives than citizens of other rich countries. The complex reason for this is the multiple factors that affect our health. The simple reason is the fact that people seldom talk about these factors. Here are five things […]
The United States spends more on health than any other economically comparable country, yet sees a consistently mediocre return on this investment. This could be because the United States invests overwhelmingly in medicine and curative care, at the expense of the social, economic, and environmental determinants of health—factors like quality education and housing, the safety of our air and water, and the nutritional content of our food.
These are divided times. In Washington, a new administration has deepened the polarization of an already gridlocked political process. In the media, our disagreements are expressed, and often amplified, by a host of competing voices. The questions they address include: how should the Constitution be interpreted? Should we embrace free trade or focus on rebuilding our industrial base?