Heartland of Darkness

By Paul Krugman, The New York Times

07 November 15

his new paper by Angus Deaton and Anne Case on mortality among middle-aged whites has been getting a lot of attention, and rightly so. As a number of people have pointed out, the closest parallel to America’s rising death rates — driven by poisonings, suicide, and chronic liver diseases — is the collapse in Russian life expectancy after the fall of Communism. (No, we’re not doing as badly as that, but still.) What the data look like is a society gripped by despair, with a surge of unhealthy behaviors and an epidemic of drugs, very much including alcohol.

This picture goes along with declining labor force participation and other indicators of social unraveling. Something terrible is happening to white American society. And it’s a uniquely American phenomenon; you don’t see anything like it in Europe, which means that it’s not about a demoralizing welfare state or any of the other myths so popular in our political discourse.

There’s a lot to be said, or at any rate suggested, about the politics of this disaster. But I’ll come back to that some other time. For now, the thing to understand, to say it again, is that something terrible is happening to our country — and it’s not about Those People, it’s about the white majority.

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