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The Inquiry
Why is life expectancy falling in America?
The Inquiry
Sep 21, 2023

The life expectancy of Americans has fallen in recent years after a long period when it had been increasing. There are a number of factors which contribute to the fall. The Covid pandemic, with over 1m deaths, made a significant impact on lowering the average life expectancy. In comparison with other peer countries, the USA also did not return to pre-Covid levels at the same rate. However there are also other important factors driving this, namely gun deaths and drug deaths as a result of opioid overdoses. And another major contributor to lower life expectancy in the States is inequality in the US healthcare system. In this edition of The Inquiry Tanya Beckett explores why US life expectancy is falling. She hears from Jeremy Ney an adjunct professor at Presidio Graduate School in San Francisco and author of American Inequality, a data project that highlights US inequality and regional divides. Dr. Mark Rosenberg helped set up the Centre for Disease Control’s National Centre for Injury Prevention and Control (NCIPC) and is a key proponent of research that examines how to reduce gun violence. He explains how gun deaths among young people have a big influence on the average life expectancy numbers. Dr. Judith Feinberg, is a professor at West Virginia University School of Medicine - her experience of working with communities with high levels of opioid problems makes her an authority on the extent to which drug overdose deaths impact average life expectancy. Ellen Marra is a professor of health economics at Harvard University - she says that diseases such as cancer and cardio deaths are big factors in lower life expectancy, compared with the number of gun and opioid deaths.

CREDITS Presenter Tanya Beckett Producer Phil Reevell. Researcher Bisi Adebayo Editor Tom Bigwood

Image: USA Birthday Cake, Credit: Getty Images

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Presenter: Charmaine Cozier Producer: Jill Collins Researcher: Amelia Cox Editor: Tom Bigwood Technical Producer: Craig Boardman Production Management: Phoebe Lomas and Liam Morrey

(Photo: New World Screwworm poster. Credit: Joel Angel Juarez/Getty Images)


24min 12sec

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Is technology ruining sport?

This year, technology has more influence in officiating sports than ever before.

At the men's World Cup, the role of virtual assistant referee technology (VAR) has been extended to include two more on-pitch scenarios while in tennis, umpires use electric line calling systems (ELC) to make final decisions.

Both bits of kit aim to improve the accuracy. It’s become easier to consider match-defining moments through these tracking and review systems’ specialised cameras. But, this information takes human officials valuable time to analyse.

Football fans criticise VAR for this reason, saying it delays match momentum. Top ranking tennis players Aryna Sabalenka and Alexander Zverev have also complained as these systems are not yet infallible. If technology is as imperfect as a human referee or umpire and can interrupt the fan experience too, why do elite sports rely on it?

We speak to Carlo de Marchis, independent adviser in sports and media technology in Italy; Dr Otto Koblinger, former sports scientist, Munich Technical University, Germany and senior data manager, Saudi Pro League; Professor Odilon Roble, sport philosopher and psychoanalyst, University of Campinas (UNICAMP), Brazil and Matt Moore, associate dean, University of Kentucky’s college of social work, US.

Presenter: Tanya Beckett Producer: Evie Yabsley Researcher: Amelia Cox Sound engineer: Nicky Edwards Production co-ordinator: Phoebe Lomas and Liam Morrey Editor: Tom Bigwood

(Photo: VAR check. Credit: Dan Mullan/Getty Images)


23min 04sec



Why is life expectancy falling in America?

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