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Item confirms Peer-reviewed Added

US life expectancy ranked 38th in 2023 and the gap has widened

US life expectancy ranked 38th in 2023, with the gap against 16 high-income countries widening and rising death rates concentrated at younger and working ages.

The authors compared US life expectancy and causes of death from 1999 to 2023 with 16 other high-income countries. The United States ranked 38th in 2023, with rising deaths below middle age from drug overdose, alcohol, homicide, suicide and cardiometabolic disease. They attribute the widening gap to the health care system, socioeconomic conditions, the physical and social environment, and public policy.

Why it is interesting: Brings cross-national comparison and state politics into one account of US deaths before middle age.

Source
The Milbank Quarterly, 23 September 2026
Paper
US Life Expectancy and Increasing Mortality Rates: An Analysis of the Crisis
Authors
Woolf SH
DOI
10.1111/1468-0009.70118
Type
Peer-reviewed article
Design
Descriptive cross-national and cause-specific mortality analysis (US 1999–2023; 16 high-income comparators) with state-level life expectancy by gubernatorial party, 1941–2022, plus literature review
Verdict
Confirms prior evidence
Driver
Health systems and access
Driver
Alcohol and drug use
Free full text
Free to read at the publisher

Other drivers in Data, models and systems