(OPINION) A recent study is revealing the dire state of public health in the United States. In comparison to other wealthy nations, the U.S. death rate far outpaces America’s peers — leading researchers to say that the country is actually “experiencing a crisis of early death.”

Researchers from the Boston University School of Public Health (BUSPH) found that more than one million U.S. deaths a year — including many young and working-age adults — could be avoided if the country had mortality rates similar to other high-income nations.

In 2021, 1.1 million deaths would have been averted if the U.S. had mortality rates similar to other wealthy nations. The study refers to these excess deaths as “Missing Americans,” because these deaths reflect people who would still be alive if the U.S. death rate was equal to its peer countries.


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“The number of Missing Americans in recent years is unprecedented in modern times,” says Dr. Jacob Bor, the study’s lead and corresponding author and associate professor of global health and epidemiology at BUSPH, in a media release.

Nearly 50 percent of all Missing Americans died before age 65 in 2020 and 2021. The study found that the level of excess mortality among working-age adults is particularly stark.

“Think of people you know who have passed away before reaching age 65. Statistically, half of them would still be alive if the U.S. had the mortality rates of our peers,” Dr. Bor said. “The U.S. is experiencing a crisis of early death that is unique among wealthy nations.”

The COVID-19 pandemic contributed to a sharp spike in mortality in the U.S. — more so than in other countries — but the new findings show that the number of excess U.S. deaths has been accelerating over the last four decades.

Dr. Bor and the team analyzed trends in U.S. deaths from 1933 to 2021, including the impact of COVID-19, and then compared these trends with age-specific mortality rates in Canada, Japan, Australia, and 18 European nations.

The U.S. had lower mortality rates than its peer during World War II and its aftermath. During the 1960s and 1970s, the U.S. had mortality rates similar to other wealthy nations, but the number of Missing Americans began to increase year by year starting in the 1980s, reaching 622,534 annual excess U.S. deaths by 2019. Deaths then spiked to 1,009,467 in 2020 and 1,090,103 in 2021 during the pandemic. From 1980 to 2021, there were a total of 13.1 million Missing Americans. (READ MORE)