An Epidemic of White Death: A Canary in the Coal Mine?

Working in partnership with The California Endowment, the Center on Society and Health at Virginia Commonwealth University, reports an unprecedented surge in the death rate for middle-aged whites living in this region (Kern, Fresno, Tulare, and Kings counties). Over the past 20 years across California, death rates among Black, Hispanic, and Asian adults ages 40-64 years have fallen by 16-20 percent. Among California Whites, however, they have decreased by only 5 percent. In this same 20-year period in this four-county region of the Southern San Joaquin Valley, white death rates have actually increased by 11 percent!

This ongoing study comes in the wake of national reports that show a worrying decline in life expectancy in the U.S.

"Many Americans are really struggling to find opportunity in this new economy. In some regions of the country, a lot of people are losing hope, and turning to alcohol, drugs, and even suicide," said Dr. Tony Iton, Senior Vice President with The California Endowment. "In the wake of these findings, this is the worst possible time to reduce access to health care or any health care safety net programs. Rather than dismantling our already fragile social compact, we need to be strengthening it so that all people have a meaningful shot at opportunity and good health."

The new death rate data suggests that Whites in Kern and Tulare counties would be particularly vulnerable to reductions in health care access, but all rural communities in the Central Valley would suffer greatly, where Medi-Cal now serves close to half of all residents. Not surprisingly, Medi-Cal's expansion was the heaviest in the state's rural counties, where most of the low-income residents live. Specifically, Tulare County had the state's highest level of Medi-Cal enrollment.

In addition to the weak economy that strangles the above counties, Steven Woolf, one of the lead authors of the report, cites other factors for the increase in death rate among whites.

"Household incomes have been stagnant and poverty rates have been climbing in these counties over a period of many years," he said. "Stress, anxiety and depression are taking their toll on this population. The economy is literally costing lives."

The California Endowment continues to support grassroots community efforts to improve health outcomes through its 10-year, $1 billion place-based initiative called Building Healthy Communities (BHC). Three of the 14 BHC sites are located in the San Joaquin Valley.

"We believe California is stronger when we stand as one and work together to reweave our tattered social compact. Access to high quality affordable healthcare is a crucial cornerstone of that social compact," Iton said. "For too many Californians, the odds are that our zip codes are more important than our genetic codes when it comes to our health. We think it is time to change those odds."

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About The California Endowment

The California Endowment, a private, statewide health foundation, was established in 1996 to expand access to, quality health care for underserved individuals and communities, and to promote fundamental affordable improvements in the health status of all Californians. The Endowment challenges the conventional wisdom that medical settings and individual choices are solely responsible for people's health. At its core, The Endowment believes that health happens in neighborhoods, schools, and with prevention. For more information, visit The California Endowment's homepage at www.calendow.org.

About BHC

Building Healthy Communities (BHC) is a 10 year, $1 billion comprehensive community initiative launched by The California Endowment in 2010 to advance statewide policy, change the narrative, and transform 14 of California's communities most devastated by health inequities into places where all people have an opportunity to thrive.

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SOURCE The California Endowment

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