In this Book

Deaths of Despair and the Future of Capitalism

Book
Anne Case and Angus Deaton
2020
summary

From economist Anne Case and Nobel Prize winner Angus Deaton, a groundbreaking account of how the flaws in capitalism are fatal for America's working class

Life expectancy in the United States has recently fallen for three years in a row—a reversal not seen since 1918 or in any other wealthy nation in modern times. In the past two decades, deaths of despair from suicide, drug overdose, and alcoholism have risen dramatically, and now claim hundreds of thousands of American lives each year—and they're still rising. Anne Case and Angus Deaton, known for first sounding the alarm about deaths of despair, explain the overwhelming surge in these deaths and shed light on the social and economic forces that are making life harder for the working class. They demonstrate why, for those who used to prosper in America, capitalism is no longer delivering.

Deaths of Despair and the Future of Capitalism paints a troubling portrait of the American dream in decline. For the white working class, today's America has become a land of broken families and few prospects. As the college educated become healthier and wealthier, adults without a degree are literally dying from pain and despair. In this critically important book, Case and Deaton tie the crisis to the weakening position of labor, the growing power of corporations, and, above all, to a rapacious health-care sector that redistributes working-class wages into the pockets of the wealthy. Capitalism, which over two centuries lifted countless people out of poverty, is now destroying the lives of blue-collar America.

This book charts a way forward, providing solutions that can rein in capitalism’s excesses and make it work for everyone.

Table of Contents

Cover

Title Page, Copyright, Dedication

pp. i-vi

Contents

pp. vii-viii

Preface

pp. ix-xii

Introduction: Death in the Afternoon

pp. 1-16

Part I. Past as Prologue

1. The Calm before the Storm

pp. 19-27

2. Things Come Apart

pp. 28-36

3. Deaths of Despair

pp. 37-46

Part II. The Anatomy of the Battlefield

4. The Lives and Deaths of the More (and Less) Educated

pp. 49-61

5. Black and White Deaths

pp. 62-70

6. The Health of the Living

pp. 71-82

7. The Misery and Mystery of Pain

pp. 83-93

8. Suicide, Drugs, and Alcohol

pp. 94-108

9. Opioids

pp. 109-130

Part III. What’s the Economy Got to Do with It?

10. False Trails: Poverty, Income, and the Great Recession

pp. 133-147

11. Growing Apart at Work

pp. 148-166

12. Widening Gaps at Home

pp. 167-184

Part IV. Why Is Capitalism Failing So Many?

pp. 185-190

13. How American Healthcare Is Undermining Lives

pp. 191-211

14. Capitalism, Immigrants, Robots, and China

pp. 212-225

15. Firms, Consumers, and Workers

pp. 226-244

16. What to Do?

pp. 245-262

Acknowledgments

pp. 263-264

Notes

pp. 265-292

Index

pp. 293-312
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