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Dr. James H. Gundlach @pecanjim.bsky.social

Here is a difficult graph to read. Each dot is the correlation between year and six death rates for single year ages from 0 through 84. 🧪💡☠️ #Sociology click +ALT for more.

Here the health care for our young are primarily paid for by family insurance but almost all the states have state funded care for the uninsured young. The middle aged are dominated by capitalist health insurance that is state regulated. In late middle age the Democratic voting states manage to get health insurance to pay for health care for the middle aged first, followed by mixed party males, followed by Republican voting states males, followed by mixed party females and Republican voting state females are last. For age 55-64 most seriously ill can retire and get early Medicare. At age 65 Medicare and the capitalist clone, Medicaid kick in to provide our elderly almost universal access to health care. Another force that kills us earlier are Evangelicals of all ages have a pattern of high death rates that do not show up here because many of them rely on prayer for health care. If these two things were not hitting us we would be close to Canada, who pay almost exactly half as much as we do for health care and our CIA ranks fifth from the top country in life expectancy. We rank 49th. How is that for an answer to a question. OK, I admit I prepared this before I read your question. But thanks for giving me a chance to post this graph again.
may 24, 2025, 8:33 pm • 11 0

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Troy Arnold @tzma.bsky.social

I’m stuck with the thought that you might have just given a graph which is a double blind study on the (in)efficacy of prayer.

may 25, 2025, 5:10 am • 1 0 • view
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Dr. James H. Gundlach @pecanjim.bsky.social

I love stimulating thinking like that. That is the kind of thinking this group is very good at creating. I think I will attach it to this if I post it again.

may 25, 2025, 6:37 am • 1 0 • view
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blairhoughton.bsky.social @blairhoughton.bsky.social

TL;DR: The chart correlates state politics to state death rates at each age. These are shown as correlation strength, not death-rates, shown. Conclusion: People in Democratic states are taken care of through middle age. In Republican-dominated states they are not, especially not if they're women.

may 24, 2025, 9:06 pm • 4 0 • view
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James @nonzerosumjames.bsky.social

Looks pretty clear to me, sheesh.

may 24, 2025, 10:27 pm • 1 0 • view
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Andreas Keller @nannus.bsky.social

Thank you. Maybe we have a misunderstanding here: I meant: what is the reason for resistance against general health care in the US, not, what is the reason for the drop in life expectancy.

may 24, 2025, 8:39 pm • 1 0 • view
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Henning Dekant 📎 @quaxquax.bsky.social

Everything in the US becomes clear once one understands that racism is driving everything. Poor white Americans rather go without health insurance than have those brown people get a free ride.

may 24, 2025, 10:38 pm • 0 0 • view
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Dr. James H. Gundlach @pecanjim.bsky.social

Racism was created to justify slavery, when slavery was ended, the rich shifted the promotion of racism to using it to divide the rest of the population politically and economically. The best book on this is a difficult to read one by O. C. Cox, "Caste, Class, and Racism".

may 24, 2025, 10:45 pm • 2 0 • view
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Dr. James H. Gundlach @pecanjim.bsky.social

I am convinced there are two major reasons. The first in causing years of life lost is Evangelical religions using ineffective prayer. The second is middle age private health insurance. I am still trying to figure out how to untangle effects to attach numbers to each.

may 26, 2025, 12:31 pm • 0 0 • view
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Dr. James H. Gundlach @pecanjim.bsky.social

The first reason is that the health insurance industry makes more money by denying care. The second reason is Evangelicals believe in prayer for health care. It doesn't work.

may 24, 2025, 8:50 pm • 0 0 • view
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Dr. James H. Gundlach @pecanjim.bsky.social

For the middle age the resistance if health insurance is so expensive that many of us are uninsured and they have a system of denying care. The high dots show where death rates have been going up since 1999 the low dots have been going down. Insurance denying care and Evangelicals praying are cause

may 24, 2025, 8:45 pm • 1 0 • view
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Andreas Keller @nannus.bsky.social

I mean resistance of politicians against introducing a health care system that would cover everybody. Why does any politician in the US oppose such a system? I'm in Germany. I'll soon become 64. I've never been uninsured. It's normal and undisputed between parties. Strange it's even a topic in USA.

may 24, 2025, 9:10 pm • 0 0 • view
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Dr. James H. Gundlach @pecanjim.bsky.social

The health insurance industry pays them well to do it and funds much of their political campaigns. Also if you go to any media and search for United States death rates they always put it all together. In the United States making more and more money is dominant.

may 24, 2025, 9:14 pm • 1 0 • view
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skarmesin.bsky.social @skarmesin.bsky.social

There are a couple of ways to put this, but it comes down to people not wanting to pay for anything for someone they consider undeserving.

may 24, 2025, 9:15 pm • 12 2 • view
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Falkirkbairnexiled @falkirkbairnexiled.bsky.social

🎯

may 25, 2025, 10:24 am • 0 0 • view
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Dr. James H. Gundlach @pecanjim.bsky.social

The truth is the people you are talking about are simply not the decision makers.

may 24, 2025, 9:54 pm • 0 0 • view
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skarmesin.bsky.social @skarmesin.bsky.social

But they elect the decision makers.

may 24, 2025, 10:17 pm • 0 0 • view
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Dr. James H. Gundlach @pecanjim.bsky.social

That is a popular belief but the health insurance industry making money out of it is what drives the decision makers. The example of death rates for age 85+ clearly shows the money making force behind it. 🧪💡☠️ #Sociology

Sorry to take so long, I could not find the older version of this graph so I had to remake it. But look at this death rate from 1978 through 2003. For 25 years our age 85+ death rates bounced around the same level. This is the only group in the economically developed part of the world that spent this time doing this. The 2003 move to a downturn happened when Medicare picked up prescriptions. Now while this was going on our middle age death rates shifted from consistently declining to consistently INCREASING. The health insurance industry started making up for the income they lost when Medicare picked up insuring prescriptions. If you can get a copy of Deadly Spin by Wendell Potter and read chapter 8 you can get an insurance agents insider view of what was happening that caused the middle aged increase when the elderly death rates started down.
may 24, 2025, 9:50 pm • 14 1 • view
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skarmesin.bsky.social @skarmesin.bsky.social

Oh I totally agree that the money force a big factor. I think there is kind of a two-step that happens. One set of forces pushes policymakers in the direction you cite. That then gets sold to the populace with cultural messages about “deserving” and “choice”.

may 24, 2025, 9:54 pm • 0 0 • view
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Dr. James H. Gundlach @pecanjim.bsky.social

The powerless simply do not make the decisions. To end the long level death rate in the graph I posted, the elderly had to lobby for over a decade to get the turn-around.

may 24, 2025, 9:58 pm • 0 0 • view
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skarmesin.bsky.social @skarmesin.bsky.social

The money force by itself can’t be said out loud by policymakers, but the cultural one can. It’s part of the same cluster of cultural messages as “welfare queens” living it up at the expense of good god-fearing working men and women.

may 24, 2025, 9:58 pm • 0 0 • view
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Dr. James H. Gundlach @pecanjim.bsky.social

The Deadly Spin chapter I recommended earlier is by an insider involved in the process of shifting the health insurance industry's profit source to the middle aged when elderly lobbying undid their making money out of killing the elderly early for a quarter of a century. It hit whites hardest.

may 24, 2025, 10:05 pm • 0 0 • view
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skarmesin.bsky.social @skarmesin.bsky.social

I should check that out but it doesn’t surprise me a bit. You can convince people to self harm in all kinds of ways if it also harms people they don’t like.

may 24, 2025, 10:11 pm • 0 0 • view
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Dr. James H. Gundlach @pecanjim.bsky.social

You remind me of the Evangelicals I could not get to look at data.

may 24, 2025, 10:13 pm • 0 0 • view
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skarmesin.bsky.social @skarmesin.bsky.social

The destructive attitude of “Don’t bother me with facts. I have a story.”

may 24, 2025, 10:16 pm • 0 0 • view
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Andreas Keller @nannus.bsky.social

Maybe here is a point where European and US cultures differ fundamentally. To me, this American way of thinking appears hartless, cold and even cruel, very repulsive.

may 25, 2025, 4:05 pm • 0 0 • view
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skarmesin.bsky.social @skarmesin.bsky.social

I don’t want to give the impression that this attitude about “undeserving” is pervasive, just that it is common enough to matter. And it is highly concentrated in Trump supporters, who have the reigns of power right now.

may 25, 2025, 4:16 pm • 1 0 • view
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Andreas Keller @nannus.bsky.social

Of course. It is clear that the American public is divided and that US culture is not a monolith (neither is European culture).

may 25, 2025, 4:20 pm • 0 0 • view
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Nsignificannot @nsignificannot.bsky.social

And anyone who needs help is undeserving!???

may 25, 2025, 3:18 pm • 0 0 • view
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skarmesin.bsky.social @skarmesin.bsky.social

The less bad way of thinking about that is that there is a relatively common belief that people will free ride if given the chance, and that is so morally repugnant and justifies restricting access even if some deserving people don’t get help.

may 24, 2025, 9:17 pm • 3 0 • view
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Andreas Keller @nannus.bsky.social

Seems to me that we are here at one of the core problems of the US. The "American Dream" means that if you work hard, you deserve. Since this does no longer work (for complex reasons), people are ashamed they don't make it. Then Mr. T. promisses them all kinds of bullshit and they become believers.

may 24, 2025, 9:35 pm • 0 0 • view
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Andreas Keller @nannus.bsky.social

Elsewhere, you "deserve" simply because you are a human being. It is part of your basic human dignity. For example, the first sentence in the German constitution is: "Human dignity is inviolable." We have come there the hard way, through a phase of fashism.

may 24, 2025, 9:39 pm • 0 0 • view
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skarmesin.bsky.social @skarmesin.bsky.social

We are getting our phase now.

may 24, 2025, 9:42 pm • 0 0 • view
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skarmesin.bsky.social @skarmesin.bsky.social

Working hard still *can* work, but random chance and genetic good fortune has always played a bigger role than people liked to believe. Then Cheeto Benito tells them that “those people” are at fault for whatever and it’s ok to be an asshole and people find that freeing.

may 24, 2025, 9:41 pm • 0 0 • view
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skarmesin.bsky.social @skarmesin.bsky.social

The reality behind that is that the undeserving, by total coincidence surely 🙄, are black, brown or anything but white Christians.

may 24, 2025, 9:26 pm • 3 0 • view
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skarmesin.bsky.social @skarmesin.bsky.social

People won’t say it, and probably don’t believe it of themselves, but support for any program drops dramatically the more it helps “those undeserving people”, but programs that help “us” aren’t even categorized the same way as government assistance.

may 24, 2025, 9:32 pm • 2 0 • view
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Stephen @stephencl.bsky.social

To me the attitude is similar to people who assume all homeless are scammers and so never give money while I see it the total opposite way, I am not going to dismiss 99 legit needs because 1 out of a 100 might be dishonest. Naive? So be it, but I would rather think better of my fellow man than that.

may 24, 2025, 10:07 pm • 0 0 • view
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Dr. James H. Gundlach @pecanjim.bsky.social

You are reality driven, not someone out to look for a way to make themselves feel better by putting others down.

may 24, 2025, 10:08 pm • 1 0 • view
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skarmesin.bsky.social @skarmesin.bsky.social

I’m with you on that for sure. But I think a lot of people are driven by the anecdotes about the one rather than the statistics about the 99.

may 24, 2025, 10:14 pm • 1 0 • view
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Stephen @stephencl.bsky.social

Well, that makes more interesting reading than people just being normal honest citizens fallen on hard times. 🙃 I think too because of their apathy they cannot see it could be them there, one step from a disaster that wrecks your life.

may 24, 2025, 10:45 pm • 0 0 • view
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Jack (🚫Trump) @jack2011.bsky.social

Is this Sociology, or is it Scientology?

may 24, 2025, 9:24 pm • 0 0 • view
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catticus412.bsky.social @catticus412.bsky.social

WOW!

may 24, 2025, 11:00 pm • 0 0 • view
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Dr. James H. Gundlach @pecanjim.bsky.social

Those three letters and ! made me feel good.

may 24, 2025, 11:16 pm • 1 0 • view
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catticus412.bsky.social @catticus412.bsky.social

That's lovely : )

may 25, 2025, 1:09 am • 0 0 • view
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Dr. James H. Gundlach @pecanjim.bsky.social

words make nice toys.

may 25, 2025, 1:10 am • 1 0 • view