Elizabeth Gudrais: Unequal America

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When Majid Ezzati thinks about declining life expectancy, he says, “I think of an epidemic like HIV, or I think of the collapse of a social system, like in the former Soviet Union.” But such a decline is happening right now in some parts of the United States. Between 1983 and 1999, men’s life expectancy decreased in more than 50 U.S. counties, according to a recent study by Ezzati, associate professor of international health at the Harvard School of Public Health (HSPH), and colleagues. For women, the news was even worse: life expectancy decreased in more than 900 counties—more than a quarter of the total. This means 4 percent of American men and 19 percent of American women can expect their lives to be shorter than or, at best, the same length as those of people in their home counties two decades ago.

The United States no longer boasts anywhere near the world’s longest life expectancy. It doesn’t even make the top 40. In this and many other ways, the richest nation on earth is not the healthiest. Ezzati’s finding is unsettling on its face, but scholars find further cause for concern in the pattern of health disparities. Poor health is not distributed evenly across the population, but concentrated among the disadvantaged.

Disparities in health tend to fall along income lines everywhere: the poor generally get sicker and die sooner than the rich. But in the United States, the gap between the rich and the poor is far wider than in most other developed democracies, and it is getting wider. That is true both before and after taxes: the United States also does less than most other rich democracies to redistribute income from the rich to the poor. (more…)

Anniversary of the Occupation of Denmark by German Forces: April 9, 1940

Today marks the anniversary of the Nazi German invasion and subsequent occupation of Denmark in 1940—the so-called Operation Weserübung. Early that morning 68 years ago, German warships entered Copenhagen harbor in violation of a German-Danish non-aggression treaty signed the prior year. The Danish military was in no condition to pose a serious obstacle to German forces; Copenhagen was taken in a matter of hours and by dawn, Denmark had capitulated. Only 39 Danish soldiers were killed in the short battle.

Of course, Denmark was not strategically crucial to Hitler’s plans and was only occupied “on the way” to Norway, where the Nazis secured critical iron-ore reserves. By all accounts, Hitler intended the occupation in Denmark to be a “model protectorate” in Europe and because Danes were “fellow Nordic Aryans”, they could be trusted to handle their own domestic affairs. For this and a number of other reasons, the Nazis were inclined to be lenient with Denmark. Besides, the official reason for the occupation provided by Germany was to safeguard Denmark from a potential British invasion… But the Danes had other plans. (more…)