Must-Read: Janet Currie and Hannes Schwandt: Mortality Inequality: The Good News from a County-Level Approach

Must-Read: Janet Currie and Hannes Schwandt: Mortality Inequality: The Good News from a County-Level Approach: “Inequality in mortality rates are a good indicator of economic wellbeing…

…but most of the existing literature does little to distinguish between developments in infants and adults. This column uses extensive US data to analyse mortality trends across all age groups. It finds that the health of the next generation in the poorest areas of the US has improved significantly and the race gap has declined significantly. Underlying explanations include declines in the prevalence of smoking and improved nutrition, and a major cause is social policies that target the most disadvantaged.

Must-read: Richard Mayhew: “School Lunches and Medicaid: a BFD”

Must-Read: Richard Mayhew: School Lunches and Medicaid: a BFD: “[‘Interested State agencies that administer the National School Lunch Program (NSLP)…

…can now use Medicaid data to certify students for free and reduced priced lunches.’] Kids who have enough to eat and are not worried about having enough to eat have two significant advantages over kids who don’t have enough to eat and have to worry about that. The first is simple, they have more energy to spend on high intensity activities of play and learning (speaking as a dad of a first grader, those two things should be very close to the same a good chunk of the time). Secondly and slightly more subtly, kids who are not worried about their next meal are able to devote high complexity cognitive processes to other things. Kids (and adults) have a finite amount of brain horsepower available at any given time. Not worrying about food frees up capacity for other things. Kids who are worried about food are devoting a limited brain budget to that task and not to other things.

The free and reduced price school lunch program in most districts… has a significant amount of paperwork and potential stigma…. People who… have signed up for Medicaid or CHIP… have routine income verification processes…. Allowing states to use pre-exisiting data to pre-qualify kids for free or reduced price school lunches will help a few more kids get a quality daily meal or two in their stomachs which should their well being in addition to school performance. It is also an example of the government working to actively improve peoples’ lives while streamlining the interaction. If we could only make it mandatory that states use Medicaid or SNAP eligiblity data to drive the full array of income qualified social services instead of silo-ing different categories of assistance, so duplication and administrative burden increases wasted costs without providing qualified individuals the services and assistance that they need.

Must-read: Janet Currie: “The Great Recession and the Health of Mothers”

Must-Read: Janet Currie: The Great Recession and the Health of Mothers: “Studies of the effects of economic fluctuations on health have come to wildly different conclusions…

…This may be because the effects are different for different groups. Using US data, this column looks at the health consequences of the Great Recession on mothers, a sub-population that has thus far been largely neglected in the literature. Increases in unemployment are found to have large negative health effects and to increase incidences of smoking and substance abuse among mothers. These effects appear to be concentrated on disadvantaged groups such as minorities, and point to short- and long-term consequences for their children.

Must-Read: Andrew Gelman: Asking the Question Is the Most Important Step

Must-Read: Something very, very peculiar is going on with middle-aged American whites in the Bush 43 and Obama years–much more so for women–and it is distinctly odd:

Andrew Gelman: Andrew Gelman: Asking the Question Is the Most Important Step: “I worked super-hard to make the graph… that helped me understand what was going on…

Asking the question is the most important step Statistical Modeling Causal Inference and Social Science

…But, from the social science perspective, what’s far more important is asking the question in the first place, which is what Case and Deaton…. That’s what got the ball rolling. (And, to be fair, they also rolled the ball most of the way.) I’m happy to have refined their analyses and, as noted yesterday, I wasn’t so thrilled by one of Case’s offhand remarks, but let me emphasize that all this discussion is predicated on their effort, on their knowing what to look at, which in turn derives from their justly well-respected research on public health and economic development. That’s the big picture….

Statisticians such as myself have our place in the research ecosystem, but all the bias correction and modeling and clever graphics in the world won’t help you if you don’t know what to look at. And in this particular example, I had no idea of looking at any of this until I was pointed to Case and Deaton’s work…. None of our contributions could’ve happened without the work by the original authors. It’s not Us vs. Them. It’s never Us vs. Them. It’s Us and Them. Or, perhaps more accurately, THEM followed by a little bit of us. And that’s one reason I want them to respect and understand us, not to fear us and be defensive”

Question: What Are Our Biggest Economic Problems Right Now?

I have been someone who takes the long-run secular decline in prime-age male employment as a canary in the coal mine: it has seemed to me via sign that information technology which greatly reduces valuable employment of human brains as cybernetic control elements for machines poses us with significant problems that are not necessarily economic but rather in the sociology of social roles. When Case and Deaton on the decline in life expectancy among the white and middle-aged crossed my desk earlier this week, I thought that case was reinforced.

But now I find myself updating and looking at this graph:

Graph Employment Rate Aged 25 54 Females for the United States© FRED St Louis Fed

It now looks quite different from how it looked a couple of years ago.

I had, a couple of years ago, taken the gender gap in trends here as an indication that those trained not to focus on social intelligence were having increasing difficulties finding valued social roles, and thus as a sign that information technology sociological apocalypse was drawing near. But now… relative to 2000, it is much easier to tell a slack-labor-demand-is-most-of-it story.

Thus I am now swinging toward thinking that if we could only focus on expansionary fiscal policy to restore the high-pressure full-employment economy of the Clinton years that we would find our longer-run structural problems solving themselves, or at any rate becoming smaller and moving further away into the distance. And I am now swinging toward understanding Case and Deaton as more evidence on the extremely high sociological costs of a low-pressure economy.

Must-Read: Anne Case and Angus Deaton: Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century

Must-Read: Anne Case and Angus Deaton: Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century: “This paper documents a marked increase in the all-cause mortality of middle-aged white…

…non-Hispanic men and women in the United States between 1999 and 2013… revers[ing] decades of progress in mortality… unique to the United States… confined to white non-Hispanics… at midlife… increasing death rates from drug and alcohol poisonings, suicide, and chronic liver diseases and cirrhosis…. Those with less education saw the most marked increases. Rising midlife mortality rates of white non-Hispanics were paralleled by increases in midlife morbidity. Self-reported declines in health, mental health, and ability to conduct activities of daily living, and increases in chronic pain and inability to work, as well as clinically measured deteriorations in liver function, all point to growing distress in this population…

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