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Using Well-Being Metrics to Assess Social Well-Being and Ill-Being: Lessons from Rising Mortality Rates in the United States

  • Carol GrahamEmail author
  • Sergio Pinto
Chapter

Abstract

Richard Easterlin inspired the use of well-being metrics in economics. This chapter highlights their potential to help us identify and understand social ill-being. The 2016 election in the United States exposed unhappiness and frustration among poor and uneducated whites. The starkest marker is the rise in preventable deaths and suicides among the middle aged of this cohort. In contrast, minorities have higher levels of optimism, and their life expectancies continue to rise. Low-income respondents display the largest differences, with poor blacks by far the most optimistic, and poor whites the least. African Americans and Hispanics also report higher life satisfaction and lower stress than poor whites, with the gaps peaking in middle age. We explored the association between our well-being data and mortality trends. The absence of hope among less than college-educated whites matches the trends in premature mortality among 35–64 year olds. Reported pain, reliance on disability insurance, low labor force participation, and differential levels of resilience across races all have mediating effects in the desperation-mortality associations. We explore the role of place, which is also associated with the well-being trends for different cohorts. The matches between indicators of well-being and mortality suggest that the former could serve as warning indicators in the future, rather than waiting for rising mortality to sound the alarms.

Notes

Acknowledgements

We thank Andrew Oswald and Eddie Lawlor, as well as Alice Rivlin, Alan Blinder, Belle Sawhill, Bill Galston, Mike O’Hanlon, Bradley Hardy and other participants at a Brookings “restoring the middle class” seminar, for very helpful comments. They also appreciate the suggestions of an anonymous reviewer. Graham acknowledges the generous support from a Robert Wood Johnson Foundation pioneer award, and Pinto from a flagship fellowship at UMD.

References

  1. Adrianzen, B., & Graham, G. (1974). The high costs of being poor. Archives of Environmental Health, 28(6), 312–315.CrossRefGoogle Scholar
  2. Andrews, R., Casey, M., Hardy, B. L., & Logan, T. D. (2017). Location matters: Historical racial segregation and intergenerational mobility. Economics Letters, 158, 67–72.CrossRefGoogle Scholar
  3. Angelini, V., Casi, L., & Corazzini, L. (2015). Life satisfaction of immigrants: Does cultural assimilation matter? Journal of Population Economics, 28(3), 817–844.CrossRefGoogle Scholar
  4. Assari, S., & Lankarani, M. M. (2016). Depressive symptoms are associated with more hopelessness among white than black older adults. Frontiers in Public Health, 4(82), 1–10.Google Scholar
  5. Black, S., Furman, J., Rackstraw, E., & Rao, N. (2016, July 6). The long-term decline in US prime-age male labour force participation, VoxEU.org.
  6. Blanchflower, D. G., & Oswald, A. J. (2004). Well-being over time in Britain and the USA. Journal of Public Economics, 88(7–8), 1359–1386.CrossRefGoogle Scholar
  7. Blanchflower, D., & Oswald, A. (2008). Is Well-being U-shaped over the life cycle? Social Science and Medicine, 66(8), 1733–1749.CrossRefGoogle Scholar
  8. Blanchflower, D., & Oswald, A. (2018). Unhappiness and pain in modern America: A review essay and further evidence on Carol Graham’s happiness for all? Journal of Economic Literature, forthcoming.Google Scholar
  9. Case, A., & Deaton, A. (2015a). Rising morbidity and mortality in midlife among white non-hispanic Americans in the 21st century. Proceedings of the National Academy of Sciences, 112(49), 15078–15083.CrossRefGoogle Scholar
  10. Case, A., & Deaton, A. (2015b). Suicide, age, and wellbeing: an empirical investigation (No. w21279). National Bureau of Economic Research. http://www.nber.org/papers/w21279.
  11. Case, A., & Deaton, A. (2017). Mortality and morbidity in the 21st century. Brookings Papers on Economic Activity, 2017, 48, 397.CrossRefGoogle Scholar
  12. Cherlin, A. (2016, February 22). Why are white death rates rising? New York Times.Google Scholar
  13. Chetty, R., Hendren, N., Kline, P., & Saez, E. (2014). Where is the land of opportunity? The geography of intergenerational mobility in the United States. Quarterly Journal of Economics, 129(4), 1553–1623.CrossRefGoogle Scholar
  14. Chetty, R., Stepner, M., Abraham, S., Lin, S., Scuderi, B., Turner, N., Bergeron, A., & Cutler, D. (2016). The association between income and life expectancy in the United States, 2001–2014. Journal of the American Medical Association, 315(16), 1750–1766.CrossRefGoogle Scholar
  15. Clark, A. (2006, October). A note on unhappiness and unemployment duration (IZA discussion papers, no. 2406).Google Scholar
  16. Clark, A., & Oswald, A. (1994). Unhappiness and unemployment. The Economic Journal, 104(424), 648–659.CrossRefGoogle Scholar
  17. De Neve, J. E. (2013). The objective benefits of subjective Well-being. In J. Helliwell, R. Layard, & J. Sachs (Eds.), World happiness report, 2013. New York: Earth Institute Press.Google Scholar
  18. Dwyer-Lindgren, L., Bertozzi-Villa, A., Stubbs, R. W., Morozoff, C., Kutz, M. J., Huynh, C., Barber, R. M., Shackelford, A., Mackenbach, J. P., Van Lenthe, F. J., Flaxman, A. D., Naghavi, M., Mokdad, A. H., & Murray, C. J. L. (2016). US county-level trends in mortality rates for major causes of death, 1980–2014. JAMA, 316(22), 2385–2401.CrossRefGoogle Scholar
  19. Eberstadt, N. (2016). Men without work: America’s invisible crisis. Templeton: W.C. Pennsylvania.Google Scholar
  20. Gelman, A., & Auerbach, J. (2016). Age aggregation bias in mortality trends. Proceedings of the National Academy of Sciences, 113(7), E816–E817.CrossRefGoogle Scholar
  21. Graham, C. (2008). Happiness and health: Lessons – and questions – for policy. Health Affairs, 27(2), 72–87.CrossRefGoogle Scholar
  22. Graham, C. (2017). Happiness for all? Unequal hopes and lives in pursuit of the American dream. Princeton: Princeton University Press.CrossRefGoogle Scholar
  23. Graham, C., & Pettinato, S. (2002). Frustrated achievers: Winners, losers and subjective Well-being in new market economies. Journal of Development Studies, 38(4), 100–140.CrossRefGoogle Scholar
  24. Graham, C., & Ruiz-Pozuelo, J. (2017). Happiness, stress, and age: How the U-curve varies across people and places. Journal of Population Economics, 30(1), 225–264.CrossRefGoogle Scholar
  25. Graham, C., Eggers, A., & Sukhtankar, S. (2004). Does happiness pay? An initial exploration based on panel data from Russia. Journal of Economic Behavior and Organization, 55, 319–342.Google Scholar
  26. Herbst, C. M. (2013). Welfare reform and the subjective well-being of single mothers. Journal of Population Economics, 26(1), 203–238.CrossRefGoogle Scholar
  27. Isenberg, N. (2016). White trash: The 400-year untold history of class in America. New York: Viking.Google Scholar
  28. Jackson, J. (2015, November 18). The role of well-being measures in minority aging research. Presentation to National Institutes of aging conference on well-being and aging, Orlando.Google Scholar
  29. Kawashima-Ginsberg, K., & Sullivan, F. (2017, March 27). Sixty percent of rural millennials lack access to a political life. The Conversation.Google Scholar
  30. Keyes, C. L., & Simoes, E. J. (2012). To flourish or not: Positive mental health and all-cause mortality. American Journal of Public Health, 102(11), 2164–2172.CrossRefGoogle Scholar
  31. Krueger, A. B. (2017). Where have all the workers gone? An inquiry into the decline of the US labor force participation rate. Brookings Papers on Economic Activity, 2017, 48(2), 1–87.Google Scholar
  32. Krugman, P. (2015, November 9). Despair, American Style. New York Times, A19.Google Scholar
  33. Kuziemko, I., Norton, M., Saez, E., & Stantcheva, S. (2015). How elastic are preferences for redistribution? Evidence from randomized survey experiments. American Economic Review, 105(4), 1478–1508.CrossRefGoogle Scholar
  34. Oswald, A., & Wu, S. (2011). Well-being across America. Review of Economics and Statistics, 93(4), 1118–1134.CrossRefGoogle Scholar
  35. Pierce, J. R., & Schott, P. K. (2016). Trade liberalization and mortality: Evidence from US counties (No. w22849). National Bureau of Economic Research.Google Scholar
  36. Porter, E. (2015, September 23). Education gap widens between rich and poor. New York Times, B1.Google Scholar
  37. Ruffing, K. (2017, August 25). Decline in labor-force participation not due to disability programs. Center on budget and policy priorities blogs.Google Scholar
  38. Ryff, C. (2015, November 18). Varieties of well-being and their links to health. Presentation to National Institutes of Aging Conference on well-being and aging, Orlando.Google Scholar
  39. Schwandt, H. (2016). Unmet aspirations and an explanation for the age-U shape in Well-being. Journal of Economic Behavior and Organization, 122, 75–87.CrossRefGoogle Scholar
  40. Shiels, M. S., Chernyavskiy, P., Anderson, W. F., Best, A. F., Haozous, E. A., Hartge, P., et al. (2017). Trends in premature mortality in the USA by sex, race, and ethnicity from 1999 to 2014: An analysis of death certificate data. The Lancet, 389(10073), 1043–1054.CrossRefGoogle Scholar
  41. Steptoe, A., Deaton, A., & Stone, A. (2015). Subjective well-being, health, and ageing. The Lancet, 385(9968), 640–648.CrossRefGoogle Scholar
  42. Stone, A., & Mackie, C. (2013). Subjective well-being: Measuring happiness, suffering, and other dimensions of human experience. Washington, DC: National Research Council of the National Academies. http://www.nap.edu/catalog.php?record_id=18548
  43. Tavernise, S. (2016, May 8). Black Americans see gains in life expectancy. The New York Times.Google Scholar
  44. Trisi, D. (2016a, September 14). Safety net cut poverty nearly in half last year. Center on Budget and Policy Priorities Blogs.Google Scholar
  45. Trisi, D. (2016b). Three essays on poverty and social welfare policy. Ph.D. dissertation. University of Maryland, College Park.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Brookings InstitutionWashington DCUSA
  2. 2.University of MarylandCollege ParkUSA

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