Middle-Aged White Americans Take a Significant Turn for the Worse

Why are mortality rates increasing for this group in the United States and not others? The usual suspects—obesity, heart disease, diabetes, smoking are not the killers, The findings resulted in the 2015 Nobel Memorial Prize in Economic Science.

2 minute read

November 24, 2015, 10:00 AM PST

By Irvin Dawid


Old Man Cyclist

Kamyar Ad / Flickr

"Something startling is happening to middle-aged white Americans," writes Gina Kolata, science and medicine writer for The New York Times. "Unlike every other age group, unlike every other racial and ethnic group, unlike their counterparts in other rich countries, death rates in this group have been rising, not falling."

That finding was reported [October 12] by two Princeton economists, Angus Deaton, who last month won the 2015 Nobel Memorial Prize in Economic Science, and Anne Case. 

Deaton and Case, a husband and wife team, point to three specific causes resulting in an "epidemic of suicides and afflictions" affecting "45 to 54 years old whites with no more than a high school education," writes Kolata.

  • Alcoholic liver disease
  • Overdoses of heroin and
  • Prescription opioids

"In that group, death rates rose by 22 percent while they actually fell for those with a college education," adds Kolata. 

(T)hey are dying at such a high rate that they are increasing the death rate for the entire group of middle-aged white Americans, Dr. Deaton and Dr. Case found.

To understand the scope of deaths, it is "comparable to lives lost in the US AIDS epidemic through mid-2015," according to an analysis of the Deaton-Case study to be published in Proceedings of the National Academy of Sciences (PNAS).

In contrast, the death rate for middle-aged blacks and Hispanics continued to decline during the same period, as did death rates for younger and older people of all races and ethnic groups.

No one reason was given for the increase in mortality from the three causes, though Kolata does offer insight into the problems affecting this age group. "Those with the least education reported the most pain and the worst general health [... and] the most financial distress."

However, no correlation was made with racial groups—the topic of a subsequent piece by Kolata.

Monday, November 2, 2015 in The New York Times - Health

portrait of professional woman

I love the variety of courses, many practical, and all richly illustrated. They have inspired many ideas that I've applied in practice, and in my own teaching. Mary G., Urban Planner

I love the variety of courses, many practical, and all richly illustrated. They have inspired many ideas that I've applied in practice, and in my own teaching.

Mary G., Urban Planner

Get top-rated, practical training

Wastewater pouring out from a pipe.

Alabama: Trump Terminates Settlements for Black Communities Harmed By Raw Sewage

Trump deemed the landmark civil rights agreement “illegal DEI and environmental justice policy.”

April 13, 2025 - Inside Climate News

High-rise apartment buildings in Waikiki, Hawaii with steep green mountains in background.

Study: Maui’s Plan to Convert Vacation Rentals to Long-Term Housing Could Cause Nearly $1 Billion Economic Loss

The plan would reduce visitor accommodation by 25% resulting in 1,900 jobs lost.

April 6, 2025 - Honolulu Civil Beat

Blue and white Seattle Link light rail train exiting concrete Downtown Bellevue Tunnel in Bellevue, WA.

Why Should We Subsidize Public Transportation?

Many public transit agencies face financial stress due to rising costs, declining fare revenue, and declining subsidies. Transit advocates must provide a strong business case for increasing public transit funding.

April 7, 2025 - Todd Litman

Silhouette of man holding on to back of bicycle ridden by woman with Eiffel Tower in background.

Paris Bike Boom Leads to Steep Drop in Air Pollution

The French city’s air quality has improved dramatically in the past 20 years, coinciding with a growth in cycling.

April 14 - Momentum Magazine

Multifamily housing under construction.

Why Housing Costs More to Build in California Than in Texas

Hard costs like labor and materials combined with ‘soft’ costs such as permitting make building in the San Francisco Bay Area almost three times as costly as in Texas cities.

April 14 - San Francisco Chronicle

Western coyote looking at camera in grassy field.

San Diego County Sees a Rise in Urban Coyotes

San Diego County experiences a rise in urban coyotes, as sightings become prevalent throughout its urban neighbourhoods and surrounding areas.

April 14 - Fox 5