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Culture War Roundup for the week of December 2, 2024

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A) Cremieux argues that much of the gap in life expectancy between America and Europe is due to obesity. But America is good at one thing at least – spending money on health care. Combine high spending with effective weight loss drugs, and the U.S. is on track to significantly narrow its life expectancy gap with Europe.

Self-driving cars will close the gap further.

The comparison between America and Western Europe is usually done because they are seen as peer developed countries. But after 15 years of no meaningful economic growth in much of Western Europe. the U.S is on track to no longer have European countries as it's peer, but rather sit entirely above them in it's own category. The U.S. can buy its way to higher life expectancy not because it's good at spending money on healthcare, but because it has the money to spend on healthcare.

The US has peer countries in Europe, but when you look at median income (the best statistic) they’re limited to Norway, Switzerland and Luxembourg. Disposable income is still higher in the US but overfocusing on that doesn’t provide you with the whole story.

And critically, there will be something to buy with that money.

Gains in life expectancy are not typically easy to buy. For all its spending, US life expectancy is on par with Costa Rica or Albania.

Traditionally, medical intervention does not add much, at least once you get past basic sanitation and vaccines. For example, if we outright cured cancer it would only add 3 years to life expectancy.

But GLP-1s agonist are a game changer.

Gains in life expectancy are not typically easy to buy. For all its spending, US life expectancy is on par with Costa Rica or Albania.

This is not for lack of an awesome medical care system. It's more nuanced.

Of people who reach 65 in the US, they can expect to have the highest longevity in the world. Our medical system is really good at this. (Whether or not they're quality years and you want to live them is a different debate).

The US has a lot of other factors that depress life expectancy at birth though

  • high teen pregnancy rates
  • high murder rates
  • opiod epidemic
  • deaths of despair
  • auto deaths
  • high obesity rates (arguably due to affluence)