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-- USA made up of eight different Americas

USA made up of eight different Americas

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Longevity Rates Differ Greatly in 'Eight Americas' BOSTON, Sept 12 -- In matters of life and longevity, the United States is not one nation, indivisible, but eight nations divided by gender, race, income, and address, with huge differences in mortality. Depending on which of the eight Americas one inhabits can make the difference between the possibility of living until age 90 or dying at 55, according to an analysis of data from the U.S. Census Bureau and the National Center for Health Statistics by epidemiologists at Harvard and the University of California San Francisco. Christopher J. L. Murray, M.D., D.Phil of the Harvard School of Public Health, and colleagues, used the two databases to calculate death rates for 1982 through 2001 by county of residence and race, they reported in the September issue of the PLoS Medicine. They determined enormous disparities in mortality among the eight Americas. The excess mortality, they determined, begins in adolescence and continues through middle-age. Their analysis defied the traditional public health approach of focusing interventions on children and the elderly, said Dr. Murray and colleagues. They identified 8,221 race-county units to which they factored in gender, population density, income, and homicide rate. Those data were then reclassified as eight unique Americas, each of which may represent millions of people. The differences among these countries are stark. For example, in 2001 a 15-year-old black girl living in high risk urban area was 3.4 times more likely to die before age 60 than a 15-year-old Asian girl living in northern New Jersey. Moreover, that 15-year-old black girl was 3.8 times more likely to die before age 45 than her Asian counterpart. For black males the risk was even higher. On one end, Asian Americans who live in areas where Pacific Islanders make up less than 40% of the population have achieved record life-expectancy-three years better than those in Japan and four years better than in Iceland for men. But, "tens of millions of Americans are experiencing levels of health that are more typical of middle-income or low-income developing countries," Dr. Murray and colleagues wrote. Moreover, the mortality disparities "are most concentrated in young and middle-aged males and females, and are a result of a number of chronic diseases and injuries with well-established risk factors." For men, life expectancy was longest in what the authors called America 1, defined as Asian America, and life was shortest in southern rural poor black America, or America 7, which was just slightly worse than the life expectancy for men in high risk urban black America. They defined the eight Americas, or population groups, this way: * Asian, population 10.4 million, average income $21,566, 80% high school graduates, living in counties where Pacific Islanders make up less than 40% of the Asian population. * Northland low-income rural white, population 3.6 million, average income $17,758, 83% high school graduates. These are whites living in the northern plains and Dakotas with 1990 county-level per capita income below $11,775 and population density less than 100 persons/km2 . * Middle America, population 214 million, average income $24,640, 84% completed high school. This group includes all whites not included in the Northland low-income America or in the poor living in Appalachia or Mississippi, as well as Asians not included in America 1 and Native Americans not included in America 5. * Low-income whites in Appalachia and the Mississippi Valley includes 16.5 million people with an average per capita income of $16,390 and a high school graduation rate of 72%. * Western Native American, population one million, average income $10,029, 69% high school graduates. These Native Americans live in the mountain and plains areas, usually on reservations. * Black middle America, population 23.4 million, average income of $15,412, 75% of them have completed high school. * Southern rural low income black, population 5.8 million, average income $10,463, 61% high school graduation rate. * High-risk urban black, population 7.5 million, average income $14,800, high school completion rate of 72%. Many differences in life expectancy were found between the eight groups. As an example, in 2001 the life expectancy gap between the 3.4 million high-risk urban black males and the 5.6 million Asian females was nearly 21 years. Within the sexes, the gap between the best-off and the worst-off groups was 15.4 years for males (Asians versus high-risk urban blacks) and 12.8 years for females (Asians versus low-income rural blacks in the South). Little had changed in 14 years. The gaps between best-off and worst-off were similar in 2001 to what they were in 1987. The authors suggested three steps to address the longevity disparities: * Systemic epidemiological and economic analyses to identify effective interventions "that make the biggest difference to those with the worst health." * Monitoring systems at the state and territorial level to provide information on the population in each community "who would benefit most from these interventions." * Public reporting about delivery of these interventions and the outcomes. http://www.medpagetoday.com/PublicH...cHealth/tb/4084

In America, rich white people live longer than poor black people. Astonishing.

Then LETS DO SOMETHING about it. We can analyze all we want, but the only outcome of that is just statistics.

Take the rich by the balls and tax them until they can't afford their 10,000 sq. foot houses. I volunteer all over my area, especially in impoverished areas, and it sickens me to death to see one town shit poor, and the neighboring one rich as cheese. Why? How do we fix it?

Capitalism is to blame. It's based off of the primitive ideology of survival of the fittest. Not every fit person is a good person, and not every good person is fit for the capitalistic society.

Tax the rich?! More like tax breaks. And on that note I think the oil companies need another federal grant.

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Originally posted by Temperate Then LETS DO SOMETHING about it. We can analyze all we want, but the only outcome of that is just statistics. Take the rich by the balls and tax them until they can't afford their 10,000 sq. foot houses. I volunteer all over my area, especially in impoverished areas, and it sickens me to death to see one town shit poor, and the neighboring one rich as cheese. Why? How do we fix it? Capitalism is to blame. It's based off of the primitive ideology of survival of the fittest. Not every fit person is a good person, and not every good person is fit for the capitalistic society.

Don't forget your Che shirt when you leave today!!

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Originally posted by Temperate Then LETS DO SOMETHING about it. We can analyze all we want, but the only outcome of that is just statistics. Take the rich by the balls and tax them until they can't afford their 10,000 sq. foot houses. I volunteer all over my area, especially in impoverished areas, and it sickens me to death to see one town shit poor, and the neighboring one rich as cheese. Why? How do we fix it? Capitalism is to blame. It's based off of the primitive ideology of survival of the fittest. Not every fit person is a good person, and not every good person is fit for the capitalistic society.

your such a liberal. Tax the rich, give to the poor blah blah blah.

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Originally posted by Kapedan your such a liberal. Tax the rich, give to the poor blah blah blah.

yeah, coz in the political climate there are only "liberals" and "conservatives"

I dunno, taxes are lame.

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Originally posted by pkcRAISTLIN yeah, coz in the political climate there are only "liberals" and "conservatives"

Not true, but with the statement that he made, he did sound like a liberal. Most of them are all about taking money from the rich and giving it to the poor.

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Originally posted by Kapedan Not true, but with the statement that he made, he did sound like a liberal.

I don't believe in the poitical spectrum.

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Most of them are all about taking money from the rich and giving it to the poor.

There is nothing wrong with that. It'll fix this country and take their power away.

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Originally posted by Kapedan Most of them are all about taking money from the rich and giving it to the poor.

im sorry, but thats not what liberalism is about.

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Originally posted by Temperate Then LETS DO SOMETHING about it. We can analyze all we want, but the only outcome of that is just statistics. Take the rich by the balls and tax them until they can't afford their 10,000 sq. foot houses. I volunteer all over my area, especially in impoverished areas, and it sickens me to death to see one town shit poor, and the neighboring one rich as cheese. Why? How do we fix it? Capitalism is to blame. It's based off of the primitive ideology of survival of the fittest. Not every fit person is a good person, and not every good person is fit for the capitalistic society.

Right, lets wait till you get a full-time job and see how your attitude on taxes 'magically' disappear after your work is taken away from you

Does anyone have any comment on the inital article, or are you all content with picking each other apart?

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Originally posted by josh4 Does anyone have any comment on the inital article, or are you all content with picking each other apart?

picking each other apart is fun!

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Originally posted by Temperate Then LETS DO SOMETHING about it. We can analyze all we want, but the only outcome of that is just statistics. Take the rich by the balls and tax them until they can't afford their 10,000 sq. foot houses. I volunteer all over my area, especially in impoverished areas, and it sickens me to death to see one town shit poor, and the neighboring one rich as cheese. Why? How do we fix it? Capitalism is to blame. It's based off of the primitive ideology of survival of the fittest. Not every fit person is a good person, and not every good person is fit for the capitalistic society.

No, people like you are too blame. You know how much taxes you are going to be paying? When you get a job that pays 50k a year? Yeah, and taxing people, who are rich self made, is not fair seeing as to how they actually worked for their money. Not like those descendants of Rockefeller and Johnson or the Waltons. Who still happen to have a lot of money. For doing absolutely nothing.

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Originally posted by josh4 Does anyone have any comment on the inital article, or are you all content with picking each other apart?

It doesn't seem too accurate. I never knew yearly income was so low....

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Originally posted by Temperate Then LETS DO SOMETHING about it. We can analyze all we want, but the only outcome of that is just statistics. Take the rich by the balls and tax them until they can't afford their 10,000 sq. foot houses. I volunteer all over my area, especially in impoverished areas, and it sickens me to death to see one town shit poor, and the neighboring one rich as cheese. Why? How do we fix it? Capitalism is to blame. It's based off of the primitive ideology of survival of the fittest. Not every fit person is a good person, and not every good person is fit for the capitalistic society.

What the fuck dude... did you read it?

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