The Decline Of Life

The Decline of Life is an ambitious and absorbing study of old age in eighteenth-century England. Drawing on a wealth of sources - literature, correspondence, poor house and workhouse documents and diaries - Susannah Ottaway considers a wide range of experiences and expectations of age in the period, and demonstrates that the central concern of ageing individuals was to continue to live as independently as possible into their last days. Ageing men and women stayed closely connected to their families and communities, in relationships characterised by mutual support and reciprocal obligations. Despite these aspects of continuity, however, older individuals' ability to maintain their autonomy, and the nature of the support available to them once they did fall into necessity declined significantly in the last decades of the century. As a result, old age was increasingly marginalised. Historical demographers, historical gerontologists, sociologists, social historians and women's historians will find this book essential reading.

During the last 25 years, life expectancy at age 50 in the United States has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the United States spends more on health care than any other nation. Concerned about this divergence, the National Institute on Aging asked the National Research Council to examine evidence on its possible causes. According to Explaining Divergent Levels of Longevity in High-Income Countries, the nation's history of heavy smoking is a major reason why lifespans in the United States fall short of those in many other high-income nations. Evidence suggests that current obesity levels play a substantial part as well. The book reports that lack of universal access to health care in the U.S. also has increased mortality and reduced life expectancy, though this is a less significant factor for those over age 65 because of Medicare access. For the main causes of death at older ages -- cancer and cardiovascular disease -- available indicators do not suggest that the U.S. health care system is failing to prevent deaths that would be averted elsewhere. In fact, cancer detection and survival appear to be better in the U.S. than in most other high-income nations, and survival rates following a heart attack also are favorable. Explaining Divergent Levels of Longevity in High-Income Countries identifies many gaps in research. For instance, while lung cancer deaths are a reliable marker of the damage from smoking, no clear-cut marker exists for obesity, physical inactivity, social integration, or other risks considered in this book. Moreover, evaluation of these risk factors is based on observational studies, which -- unlike randomized controlled trials -- are subject to many biases.

A New York Times Bestseller A Wall Street Journal Bestseller A New York Times Notable Book of 2020 A New York Times Book Review Editors’ Choice Shortlisted for the Financial Times and McKinsey Business Book of the Year A New Statesman Book to Read 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 Deaths of despair from suicide, drug overdose, and alcoholism are rising dramatically in the United States, claiming hundreds of thousands of American lives. Anne Case and Angus Deaton 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. As the college educated become healthier and wealthier, adults without a degree are literally dying from pain and despair. Case and Deaton tie the crisis to the weakening position of labor, the growing power of corporations, and a rapacious health-care sector that redistributes working-class wages into the pockets of the wealthy. This critically important book paints a troubling portrait of the American dream in decline, and provides solutions that can rein in capitalism's excesses and make it work for everyone.

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Spengler's work describes how we have entered into a centuries-long "world-historical" phase comparable to late antiquity, and his controversial ideas spark debate over the meaning of historiography.

Excerpt from On the Decline of Life in Health and Disease: Being an Attempt to Investigate the Causes of Longevity; And the Best Means of Attaining a Healthful Old Age The celebrated Heberden remarked, that the life of a physician should be like that of a vestal virgin, which was divided into three periods; in the first of which she learned her profession, in the second she practised it, and in the third she, also, taught it to others. I have certainly passed through the first and second of these periods: after several years employed in the study of my profession, I have spent thirty-five years in the practice of it, and, anxious to fulfil completely my vocation, I desire before I quit the stage to strike one blow for the good cause, to do something, however slight, to improve the sanatory condition of mankind, to alleviate pain, and oppose the influence of disease. I cannot hope, strictly speaking, "to teach my profession to others." About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.