Aghast at the atrocities committed by US forces invading the Philippines, and the rhetorical flights about liberation and noble intent that routinely accompany crimes of state, Mark Twain threw up his hands at his inability to wield his formidable weapon of satire. The immediate object of his frustration was the renowned General Funston. “No satire of Funston could reach perfection,” Twain lamented, “because Funston occupies that summit himself… [he is] satire incarnated.”

It is a thought that often comes to mind, again in August 2008 during the Russia-Georgia-Ossetia war. George Bush, Condoleezza Rica and other dignitaries solemnly invoked the sanctity of the United Nations, warning that Russia could be excluded from international institutions “by taking actions in Georgia that are inconsistent with” their principles. The sovereignty and territorial integrity of all nations must be rigorously honored, they intoned – “all nations,” that is, apart from those that the US chooses to attack: Iraq, Serbia, perhaps Iran, and a list of others too long and familiar to mention. (more…)

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…)