Dr. James H. Gundlach
@pecanjim.bsky.social
3.3K followers 5.2K following 1.7K posts
Retired Sociology/Demography professor. I know the United States has an awfully high middle aged death rate. My goal is to explain it well enough to get people to fix it.
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pecanjim.bsky.social
This is a complex graph that I will explain how to look at it in the text accompanying the graph. Click ALT to see more. 🧪💡☠️ #Sociology #Population #Think #News
The most likely response upon seeing this is "What the hell?". Each line of the same dots displays that years death rates as a percent of 1999. The middle dark blue diamonds is  for  the next year so it is very close to the 100% line in the middle of the graph.

The most important thing is look at the changes in the general pattern by age. First not that the vertical arrangement of the different lines of dots are the same for the age 0-16 and 65-84. If the United States had the same general  changes for all  ages like the rest of the economically developed countries that general  pattern would have ran very consistently all  the way across the graph. In the United States the young are primarily covered by private health insurance but in almost all the states have some back up socialized health care to provide care for our uninsured young. Then as we age  into the middle aged, we have health care dominated by capitalist health insurance  that has a highly varied prior approval requirement before health care is administered. Then the age group 55 through 64 provides optional Medicare coverage for many of the people in this group that are in serious need of health care that capitalist insurance does not adequately cover. Then for  age  65+ Medicare and the private health insurance policy called Medicaid  provides  treatment. 

In general the most consistent declining death rates are among the 65+ followed by the age  0-16 with a complex pattern of death rates that increase in different amount and different time periods in that messy middle of the graph.  This pattern in death rate changes among our middle aged has several consequences:

One is that our CIA says people who live in 48 other countries live longer than we do even though we pay the most for health care. 

A second is we pay more for health care than any other country. For example Canada pays a little over half as much as we do for health care and their life expectancy is  3.3 years  longer. 

Enough said.
pecanjim.bsky.social
The driving force is that the national Southern Baptist organization takes half of all the money donated by about 1.9 million members to the local churches every week. That plus profits from the fake health insurance they sell puts their political power right up next to the billionaires.
pecanjim.bsky.social
I took my first programming course when we only got to submit 15 programs with no more than 30 cards each during the semester. we got graded on our best ten. I had a solid B when I had three runs left and I tried to make the computer write a poem. The only people without problems are dead.
pecanjim.bsky.social
A while back I discovered that my computer was automatically saving all the scatter plots I had produced while trying to explain our uniquely unexplained death rates. I quit counting at 3,000. Back in the 1960's I was calculating regressions with calculators that worked when I pulled the lever.
pecanjim.bsky.social
At one point, I started with a collection. of 14 independent variables, running with several mixed sets of independent variables I let the X's compete for strength. The strongest after controlling for others is percent smoking the second, percent Southern Baptist. This is about improving the 2nd.
pecanjim.bsky.social
In trying to see what the effects of religious beliefs are on death rates, I have found indications that religious fundamentalism, especially Southern Baptist, are a major driver of high death rates. The problem is quality of data. See ALT for more. 🧪💡☠️ #Sociology #Demography #Think #News
Looking for measures of state percent Southern Baptist I found measures for the years 1980, 1990, 2020, 2010 and 2020 in:

https://www.usreligioncensus.org/index.php/reports_analyses

Given that in working with hard to get data I regularly look for data problems and when I found all these ten year apart measures correlated at .99 or higher, I concluded that this was a problem. I kept coming back to the problem and around 4:00 one morning I had time on my hand and decided to search the on line Yellow Pages. I ran a search for "Southern Baptist church" for each state and at the bottom of the first page of listing was the total number for the state search. One problem was that Texas, Florida and Georgia turned up with the number 3,000 which looks like the system's maxim number it will report. Alabama only hit 2,946.

I went ahead and recorded the number of each state and after running several years of data I kept finding the Yellow Pages count was more strongly related to the state age 20-64 death rates, the average r for the survey data was 0.60 and the average r for the Yellow Pages number was 0.77. The values of all 112 r's are displayed on the graph. 

Given how well this graph of age 20-64 showed things, I went ahead and repeated it for ages 65-84. 

Here I show the same 112 possible correlations for the same independent variables, the decade percent Southern Baptist and the 2025 Yellow Pages listing for Southern Baptist Churches. The relative distance between the two lines of dots are very similar in the degree of running together and relative distance and position between them. But this line of dots shows much more of an increase over time than the middle age graph. 

Here the r's for the survey data increase from a -0.07 to 0.71 from 1966 to 2023 with an average of 0.38. The same numbers for the Yellow Pages data are an increase from 0.16 to 0.82 with an average of 0.57. 

This tells me a few things. First,  that the Southern Baptist churches have more substantially increased their elder's relying on prayer for health care than their middle aged. Second, the Yellow Pages measure is consistently a better measure, and cheaper, than the survey data. Third, I need to see how these relationships hold up controlling for other variables, especially the only other variable that I have found is stronger than percent Southern Baptist, percent who smoke cigarettes.
pecanjim.bsky.social
I am afraid not. I use the CIA World Fact Book to get basic life expectancy and I go to Canada's web sites to get their data. Almost all the health care in industrialized countries are highly socialized.
pecanjim.bsky.social
Here I compare the percent changes in single year age deaths rates from 1999 to 2019, the last year before COVID, for non-Hispanic Whites and Blacks as well as Hispanics of all races. Click ALT to see more: 🧪💡☠️ #Sociology #Population #Auburn #Think #News
I think this graph shows some of the most unique in the United States changes in death rates. I usually include the data used to create graphs but that is not possible here with as much data I used to produce this graph. 

The graph starts with a lot of scattered dots showing little racial and ethnic differences among the young. The health care for the young in the United States is primarily covered by capitalist health insurance but almost all the states have socialist health care for the uninsured young. Much of the differences in the height of the dots among the young is due to the random effects showing up in data with small n's. But in general, our young experienced fairly consistent declines. Even the high Hispanic dot at age 6 is for a one percent decline. 

The worst part of our unique death rates hist in young adulthood. Our middle aged health care is dominated by capitalist health insurance. The United States is unique in the economically developed world in that we allow the capitalist health insurance to delay care as they decide if they will cover particular health care.  This practice was put in place after software was developed that allowed the health insurance industry to predict who they would lose money on based on early adult health problems. Those upward slopes in the three lines of dots are produced by some of the people being uninsured and the health insurance industry denying care.  The main thing this graph shows is that this increase in death rates in the private health insurance covered population is strongest in the most insured group, non-Hispanic Whites. 

The last part of the graph shows that Medicare coverage produces the best protection against unnecessary early deaths, We simply wait for people to get too old for civilized health care to have a life expectancy among the longest. 

I will end repeating my most repeated line. Canada has a life expectancy that is 3.3 years longer than we in the United States does.
pecanjim.bsky.social
Ah, air pollution is heavier in areas with more Blacks and Hispanics!
pecanjim.bsky.social
My parent-less mother and her two brothers lived on a farm when WWII started. Instead of one of them claiming draft exemption they sold the farm to a rich non-farming guy. One of my uncles died in the war.
pecanjim.bsky.social
It is interesting to compare individual level data with aggregate level data. Aggregate data shows stronger relationship than individual data. I think this is because a lot of the anti-vaccine idiots lie in surveys.
pecanjim.bsky.social
People without empathy are the draft dodgers, Trump is a classical example.
pecanjim.bsky.social
Empathy is a human trait that is not universal but contributes to the survival of all. If it did not exist, people would not be willing to die for their country or their loved ones. Populations run without empathy are what do not survive. Our Republican voting states people die earlier.
pecanjim.bsky.social
I will conduct an exploratory analysis to see where I can find the shift in differences. One difference is this is the first detailed analysis of the 2023 data, Changes are taking place but I haven\t figured them out yet.
pecanjim.bsky.social
I am afraid I did not discover this pattern in the data until a couple of hours before I posted it. In general the mixed party and Republican voting states have higher death rates for two main reasons. 1st high % Southern Baptist who use prayer for health care. 2nd health insurance denies care.
pecanjim.bsky.social
Here is a detailed single year of age by political party graph that I have put together in an attempt to make differences in death rates understandable. Click alt to see more: 🧪💡☠️ #Sociology #Population #Think #News
This graph compares the single  year age death rates in the Mixed Party and Republican voting states with same statistic in  Democratic voting states.  The last dot, for age group 85+ is essentially equal because nobody out lives the + sign. 

The graph starts with the very young in Mixed Party states a little above 130. That means those death rates are a little over 30% higher than the same age death rates in Democratic voting states. Both lines become more level for almost twenty  years before moving down together until about age 40. From there the Republican voting states average about 108%, 8% higher says the same thing, of Democratic voting states while the mixed party states average close to 105%. 

Now the standard measure of death rates is life expectancy, the age by which half the people die. I find life expectancy a hard to understand  measure communicating to anyone without a degree in demography when describing death rates. Here are the 2023 life expediencies for the three groups: Democratic voting states is 77.9 and the other two are the same at 76.5. That simply does not tell me much about the differences. The fact that the two lines of dots showing different death  rates in  mixed party and Republican voting states have the. same life expectancy shows that the don't measure everything. 

Here are the state abbreviations for the three groups:
Dem Mix Rep  
CA	AZ	AL
CO	GA	AK
CT	IA	AR
DE	MI	FL
DC	MN	ID
HI	NH	IN
IL	NC	KS
ME	OH	KY
MD	PA	LA
MA	TX	MS
NV	WI	MO
NJ	MI	MT
NM		NE
NY		ND
OR		OK
RI		SC
VT		SD
		TN
		UT
		WV
		WY
pecanjim.bsky.social
This graph presents the total deaths rates of states from 1999 through 2023 for states grouped by the party they voted for. See text for more information: 🧪💡☠️ #Sociology #Population #News #Think
This graph shows that Republican voting states consistently has had higher death rates than mixed party states which have consistently had higher death rates than the Democratic voting States from 1999 through 2023. This pattern is so  stable that the only noticeable difference is for the first and second years of the COVID epidemic.  The Democratic voting states being higher is primarily due to  COVID hitting the east and west coast states, among which Democrats make up a very high percent, where COVID hit first. The pattern reverses  the second year because when COVID vaccine  became. available Democrats were much  more likely to get vaccinated during  the first  year. The slower to learn and less  scientific findings accepting non-Democrats were less likely to accept vaccinations and as a result they experienced an increase in death rates in 2021 while the Democratic voting states experienced a decline. 

Out of the little more than 200 graphs I have posed here,  I think  this one is the simplest and easiest to read.  What I don't have is data to show is how much better  the Democratic voters in the Republican voting states did than their mixed party and Republican voting neighbors.
pecanjim.bsky.social
It looks like access to the mortality data I have used to post here is being changed by the Trump administration. They make claims that they are fixing data problems, the problem is anything that will show what they are doing is "bad" by Trump's definition. 🧪💡☠️ #Sociology #Population #Think #News
pecanjim.bsky.social
This is exactly what I have been thinking, As I remember the Democratic voting states are paying about 70% of the Federal income taxes. I might add that the billionaires, who the Republicans listen to, pay very little.
pecanjim.bsky.social
The Southern Baptist offer their own health insurance. It is very cheap and the state percent Southern Baptist is second only to percent who smoke in predicting higher state death rates. It iss even stronger than percent uninsured.
pecanjim.bsky.social
Here I show changes in death rates from 1999 through 2020 for the United States population divided into age groups determined by how their health care is paid for, 0, 1-19, 20-64 and 65-84. Age 85+ is excluded because nobody lives through it. 🧪💡☠️ #Sociology #Population
I present graphs using this color coded pattern for all four age groups displayed here. The groups are based on how health care is provide, especially paid for. Age 0 is special and highly variable by state in ways that are not consistently related to how other ages are cared for. During this time, the United States has reduced death rates so much that we actually have lower death rates than Canada for this age group. The thing to remember is this shows us how death rates changed from 1999 through 2020. That does have an effect on actual level but the states that entered this period with higher death rates found it easier to bring the death rates down than the states that entered with lower death rates, this is especially the case for Utah and Maine. 

Now to the next age group. Age group 1-19, is also unique because the primary way for paying for health care, capitalist health insurance, is backed up by highly variable state funded care for the young that are not covered by by the primary method. This age group has the lowest death rates and because of that, they have minimal effects on measures like life expectancy that count deaths by all ages to be calculated. 

In general, these younger people, like the under age one group have a positive effect on state life expediencies during these two decades. 

Next, the group most exclusive provided health care through the most capitalist part of our health care system, ages 20-64. This is our age group that is dominated by the correlations that show increasing death rates, positive values of r. New York is the only state with a negative correlation and it is only a -0.04 soon followed by California and Nevada with r's below 0.15. 

In general this graph displays the death rate changes for the only part of the earth's population with industrialize economies that generally experienced increasing death rates during this time period. 

In general I feel we will not stop this evil increase in our death  rates until we follow the rest of the economically developed part of the world and get rid of capitalist funded health care. 

Now the last graph, for ages 65-84. Sorry, I don't know why I made this one so wide, but it still  shows that it is the most solidly almost white graph. Again, this does not mean they are all at the same level, it just means that  they all have the most consistently declining death rates. What I find most amazing is that this has been going on for a quarter of a century if we exclude the recent COVID deaths and our most extreme idiocy is our ignoring our middle age increasing  death rates while our elderly have declining death rates!

The main thing this shows us is that the major capitalist funded health care in the economically developed part of our earth's population that has consistently shown increasing death rates is this capitalist funded part, our middle aged. And things are looking like they will be adding our elderly to the middle aged system of denying health care to make the rich richer. 

If Trump succeeds in ending democracy in the United States and establishing a totally rich dominated political system, we will experience a long period of increasing death rates for the sole purpose of making the richest people in the world richer.
pecanjim.bsky.social
I am a sociologist/demographer sewage systems prevent epidemics that kill a large percent of the population. I put them near the top of human inventions that keep us alive longer.
pecanjim.bsky.social
It took a while to put together. Thanks for the complement.
pecanjim.bsky.social
Here are the United States with a number that says where their life expectancy fits in the CIA ranking of countries. The text under the graph has a link so you can go to the CIA World Fact Book and see which countries are around a state you are interested in: 🧪💡☠️ #Sociology #Population
To see which countries are close to states you are interested in go to:

https://www.cia.gov/the-world-factbook/field/life-expectancy-at-birth/country-comparison/

There you can scroll down to find the countries around the states you are interested in.  Also while on  that web page you can click on the country name  and it will take you  to a page that will give you a lot  of information about a country.

A final  note:  The CIA lists the United States as having  a longer life expectancy than any of the states. That is logically impossible if they are calculated the same way. I will conclude by noting that I think the CIA exaggerates the United States life expectancy.
pecanjim.bsky.social
A large portion of this is the Southern Baptist and some related Evangelicals using prayer for health care. While the United States pays the most for health care our CIA ranks us 49th in life expectancy. The Southern Baptist relying of prayer for health care is a major part of it. It kills!