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Deaths of Despair and the Future of Capitalism


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An eye-opening exploration of the economic causes of the astonishing rise of deaths by suicide, drug overdose, and alcohol

About the Author

Anne Case is the Alexander Stewart 1886 Professor of Economics and Public Affairs Emeritus at Princeton University. Angus Deaton, winner of the 2015 Nobel Prize in economics, is the Dwight D. Eisenhower Professor of Economics and International Affairs Emeritus at Princeton University and Presidential Professor of Economics at the University of Southern California. His books include The Great Escape: Health, Wealth, and the Origins of Inequality (Princeton). They live in Princeton, New Jersey.


"Shortlisted for the Financial Times and McKinsey Business Book of the Year"
"Finalist for the Best Book Published by a University Press, Digital Book World Awards"
"One of New Statesman's Books to Read in 2020"
"Refreshing . . . a careful, deep, and troubling look at the America that lies beyond the Ivy League."---James K. Galbraith, Project Syndicate
"One of Next Big Idea Club's Most Anticipated Nonfiction Books of Spring"
"[A] well-argued, important book."---Rosamund Urwin, Sunday Times
"Finalist for the Best Non-Fiction Book, Digital Book World Awards"
"A Wall Street Journal Bestseller"
"One of the Financial Times' Summer Books of 2020: Economics"
"Why economics really matters is illustrated in Deaths of Despair and the Future of Capitalism. . . . The authors argue that the capitalism that lifted countless people out of poverty is now destroying blue-collar America. They have solutions to make it work for all. They had better be right." * New Scientist *
"Important."---Michael Tomasky, Democracy
"An excellent book."---Nicholas Kristof, New York Times
"A remarkable new book."---John Harris, The Guardian
"Complementing their candid prose with enlightening charts and graphs, Case and Deaton make the scale and immediacy of the problem crystal clear. This is an essential portrait of America in crisis." * Publishers Weekly *
"The authors add an important dimension to the growing body of research on the suffering of African Americans in the US; but their main argument is that it is the uneducated white working class that is now in "long-term and slowly unfolding" freefall."---Anne Nelson, Times Literary Supplement
"Building on Case and Deaton's extraordinarily influential research on the mortality resulting from the tragic opioid epidemic in the United States, this book examines three causes of death - drug overdose, suicide, and alcohol-related liver disease - that have risen rapidly since the mid-1990s. It is extraordinarily well written - sweeping yet succinct. And though it was published before the COVID-19 crisis, its critique of the US approach to health care and inequality is remarkably prescient."---Ken Rogoff, Project Syndicate
"[Case and Deaton] dive into and weave the data through different demographic and clinical lenses - race, gender, age, social connectedness, work history, and the most important through-line: education. Thus Case and Deaton connect the dots, literally, in the many charts that explain what factors are driving the Deaths of Despair."---Jane Sarasohn-Kahn, Health Populi Blog
"The rise in premature deaths among working-class whites has become a national crisis, and the authors tie the problem to the weakening position of labor, the growing power of corporations, and to a health-care sector that redistributes working-class wages to the wealthy." * Publishers Weekly *
"One of The New York Times 100 Notable Books of 2020"
"Gripping. . . . [Case and Deaton] do not merely rehearse decades of mortality and wage statistics. Rather, they seek to catalogue how an entire way of life first frayed and then fell apart over the past half-century, and the cruelty of an American meritocracy that heaps lavish rewards on the winners while increasingly leaving others to rot."---Joshua Chaffin, Financial Times
"Simply put, this is a terrific book. I suspect it will be on many people's top 10 book lists of 2020. Although written before COVID-19, the book's critique of the US approach to health care and inequality is remarkably prescient. In many ways, the opioid crisis Case and Deaton analyze is a microcosm of the anguish the world is experiencing today, and we would be remiss not to pay attention to their insights."---Kenneth Rogoff, Finance & Development
"Although the authors completed this book before the onset of the coronavirus pandemic - it was published four days after President Trump declared a national emergency - their diagnosis is still painfully relevant."---Carlos Lozada, Washington Post
"This highly important book examines the pain and despair among white blue-collar workers and suggests that the hopelessness they are experiencing may eventually extend to the entire American work force." * New York Times Editors' Choice *
Deaths of Despair
is designed to shine a light on a generational catastrophe that could-perhaps will-become a multigenerational disaster. It does this with chilling precision."---Mike Jakeman, Strategy+Business
"[a] hard-hitting study of US capitalism."---Andrew Robinson, Nature
"A New York Times Bestseller"
"Anne Case and Angus Deaton are senior economists at Princeton with expertise in public health and poverty, respectively. The combination, plus clear writing and ample doses of caution and open-mindedness, makes Deaths of Despair a compelling book."---Edward Hadas, Reuters BreakingViews
"Well researched and incisive. . . . This is a tragic, but important book, and hopefully it helps to nudge the needle towards where badly needed social reforms need to go."---Simon Cocking, Irish Tech News
"One of the Strategy+Business Best Business Books 2020 in Economics"
"The policies that the authors advocate not only would address deaths of despair, they would improve the health and welfare of the American people more generally."---David Canning, Science
"A New York Times Editors' Choice"
"Excellent." * Joyce Carol Oates on Twitter *
"Elaborately explained and well-presented. . . . Case and Deaton's well-written and gloomy book was meant as a warning. Relentlessly fighting an infectious disease, the U.S. government seems to have treated it as a handbook."---Joakim Book, American Institute for Economic Research
"One of The Sunday Times' Best Business Books of 2020"
"One of the Financial Times Selected Titles for 2020 Visions: The Year Ahead in Books"
"[A] remarkable and poignant book."---Dani Rodrik, Project Syndicate
"We Americans are reluctant to acknowledge that our economy serves the educated classes and penalizes the rest. But that's exactly the situation, and Deaths of Despair shows how the immiseration of the less educated has resulted in the loss of hundreds of thousands of lives, even as the economy has thrived and the stock market has soared."---Atul Gawande, New Yorker
"Timely and important."---Ed Balls, Financial Times
"Well-researched, compassionate."---Susan Babbitt, New York Journal of Books
"The system is broken and every bit of it needs fixing. This is a sobering - and essential - book."---Diane Coyle, Enlightened Economist
"A must-read for anyone attempting to objectively understand our collective American pain as well as those gaining from it."---Rahul Gupta, Democracy
"Disturbing. . . . . Case and Deaton do a great job making the case that something has gone grievously wrong."---Jim Zarroli, NPR
"I'll offer my own endorsement from the [New York Times Notable] 100: Deaths of Despair and the Future of Capitalism, by Anne Case and Angus Deaton. It covers arguably the single most alarming development in American life, one that helps explain the frustration pulsing through the country: In many communities, people are not living as long as their parents did."---David Leonhardt, New York Times
"I highly, highly recommend it."---Cardiff Garcia, NPR Planet Money's The Indicator
"Through simple figures and clear prose, it presents a huge bodyof evidence from the Centers for Disease Control and Prevention's WONDER database and other sources that the arc of the white working class's fate over the last two decades is long, but it bends toward nihilism and an early grave."---Gabriel Rossman, Washington Examiner
"The best account of [the] White collapse."---David Ignatius, Washington Post
"A highly important book."---Arlie Russell Hochschild, New York Times Book Review
"This book is of the highest importance."---Martin Wolf, Financial Times
"Case and Deaton explain how every detail of this crisis unfolded, examining recent historical events and rightly placing much of the blame on the United States' distinctive strain of capitalism, designed to protect and grow the assets of the wealthy few."---Keri Leigh Merrit, Common Dreams

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