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Except men commit suicide more often and are more likely to be conservative. All that counting the number of people who say they have or are in treatment for mental health issues, can tell you is the number of known people, people who seek treatment or talk about it.
Men more often keep it in until they snap. Working class men specifically (who went about 63% for Trump) make up the majority of fatal drug overdoses, alcohol related deaths and suicides it appears. Self-medicating, coping and keeping it inside until you can't is the male strategy basically.
Blues have worse visible mental health is perhaps all we have the data to say. But I think there are enough signs that say that a lot of Red men particularly suffer what Blues would call mental health issues, they just don't talk about it and suffer through it in silence, until they drink/drug themselves to death slowly or kill themselves directly.
The truth may well be that Blue women particularly talk about it too much, and Red men particularly, don't talk about it enough. Which is going to confound any easy way to compare rates of mental health issues.
But how much this is confounded by the fact that the economic outlook for working class men in the Rust Belt is currently really bad? In 1975 you would have seen vastly higher amounts of fatal drug overdose rates in America’s ruined cities than out in the countryside. Now the situation is reversed.
Sure, that could be a cause. But the claim was that Blue mental health is worse than Red mental health because you hear about it more. That they might have different causes that vary over time isn't relevant to whether that is true or not. If Red mental health problems currently seem to manifest in different ways and thus are not as visible and thus not being counted as mental health issues at the rates at which they occur, that would be separate from what is causing them.
Why there are mental health issues is irrelevant as to whether we are measuring them accurately and if they appear at the same rates in the same ways in these different populations at any point in time. Conditions of course vary over time in both populations. If we were in 1975 then we'd also want to be seeing if those urban drug overdoses were hiding mental health issues, if we were doing the same comparison back then.
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