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Small-Scale Question Sunday for November 12, 2023

Do you have a dumb question that you're kind of embarrassed to ask in the main thread? Is there something you're just not sure about?

This is your opportunity to ask questions. No question too simple or too silly.

Culture war topics are accepted, and proposals for a better intro post are appreciated.

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I'm looking for a chart which appears in Peter Attia's book Outlive. The chart shows that the only reason that life expectancy in the U.S. has increased since 1920 is because we eliminated 8 infectious diseases via vaccination, antibiotics, and sanitation.

I want to find the original source and study for this chart. The author of the study is Robert J. Gordon.

Where is it? Why is this impossible to find? Google, you suck.

AFAIK this is not true. There's been lots of progress in reducing cancer deaths too. Brief overview: https://ourworldindata.org/cancer#is-the-world-making-progress-against-cancer

I would like to see more data. Besides cancer, there are several other modern improvements that should have increased life expectancy. Off the top of my head:

  1. Reductions in smoking (this should account for YEARS)
  2. Improved auto safety (U.S. auto fatalities per capita peaked in 1937)
  3. Statins
  4. Improvements for other diseases (miracle cure for Hep-C being a good example).

But perhaps this is offset by:

  1. The massive rise in obesity. Currently 11% of American adults are diabetic. That number rises to 29% of adults over 65.
  2. Drug overdose deaths (from near zero to 100,000+ per year)
  3. Increase in murders

Increase in murders

What numbers are we looking at here? Googling around the murder rates per capita for the US as a whole during the 1920s and 30s seem to generally trend higher than murder rates today, but those are just the easiest ones I've found and I could accept the methodology has changed to such an extent it is not an apples-to-apples comparison.

Modern trauma care turns what would have been murders in the 70s into aggravated assaults. There's a downward trend from medical improvements.

That seems highly relevant when discussing the murder rate in terms of violent crime, but less relevant when discussing the murder rate in terms of life expectancy.

Unless the argument is the life expectancy lost by the increased # of aggravated assaults outweighs the life expectancy gained by the decreased # of outright murders. Though I would not phrase that as life expectancy lost due to increase in murders.