A new book rests on a grim reality: Americans have spent recent decades dying at much higher rates than people living in our peer nations.
Over a half-century ago, back in the mid-1960s, books about poverty abounded. But publishers paid relatively little attention to wealth’s concentration. A generation earlier, Americans had obsessed about grand private fortunes. By late mid-century, that obsession no longer excited either the media or the public.
Our income stats tell a similar story. Incomes in our bottom 50 percent now stand, after inflation, just under a meager 30 percent higher than their level back in 1976. American top 0.01-percent incomes have soared almost 600 percent. But real life, as the young doctor began living it, had a nasty habit of poking holes in that story. Bezruchka had spent time early on in his career practicing medicine in Nepal, a nation he had earlier encountered as part of the first Canadian Mount Everest expedition. He also spent years stateside working big-city hospital emergency rooms. All these experiences, bit by bit, had Bezruchka viewing health through a much more open-minded lens. Health care, he was learning, cannot guarantee health.
In the deeply unequal United States, by contrast, that sharing seldom shows. One arresting example: Drivers of high-status cars, as researcher Paul Piff has detailed, turn out to be “more likely to cut off other vehicles at intersections and endanger pedestrians at crossings than those in more modest automobiles.”
Our rich, Bezruchka points out, see no need to employ that power on behalf of those without fortune. They see no particular reason to extend a helping hand to those without their fantastically good fortune. They believe they worked hard for their success. So why should they help others who didn’t? Keep taxes low, they demand. Keep government off our backs. Let the “free market” determine how our lives shake out.
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