The redder the state, the shorter the life.
That is the argument economist Paul Krugman lays out in a December 2 New York Times column in which he debunks the typical right-wing claim the United States is superior to other nations, particularly in life expectancy.
"Public policy certainly plays some role, especially in recent years, as blue states expanded Medicaid and drastically reduced the number of uninsured, while most red states didn't. The growing gap in educational levels has also surely played a role: better-educated people tend to be healthier than the less educated. The prevalence of obesity has soared all across America since 1990, but obesity rates are significantly higher in red states."
Politics also plays a considerable role, according to a 2018 Journal of the American Medical Association article that examines changes in health and life expectancy in 1990 and 2016.
"I looked at states that voted for Donald Trump versus states that voted for Clinton in 2016, and calculated average life expectancy weighted by their 2016 population. In 1990, today's red and blue states had almost the same life expectancy. Since then, however, life expectancy in Clinton states has risen more or less in line with other advanced countries, compared with almost no gain in Trump country. At this point, blue-state residents can expect to live more than four years longer than their red-state counterparts. In 1990, Texas and Florida had higher life expectancy than New York and almost matched California; today, they're far behind."
This lack of healthcare can be tied to growing obesity rates, which have soared since 1990, contributing to higher healthcare premiums for those with insurance.
Education also produces better outcomes since better-educated people tend to be healthier.
Krugman concludes his piece with a criticism of Attorney General William Barr's assertion "militant secularists" are responsible for growing suicide rates and drug abuse.
"European nations, which are far more secularist than we are, haven't seen a comparable rise in deaths of despair and an American-style decline in life expectancy. And even within America, these evils are concentrated in states that voted for Trump and have largely bypassed the more secular blue states. So, something bad is definitely happening to American society. But the conservative diagnosis of that problem is wrongdead wrong."
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