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U.S. Life Expectancy Falls Further

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Re: U.S. Life Expectancy Falls Further

#261

Earlier quoted context omitted.

There's another group of people like me. I have a good job, with good health benefits. I haven't been to the doctor for myself in probably a decade. I just don't like doctors.

My dad is dying from a 20 cm tumour right now. He has insurance but put up with the pain of a growing mass in his pancreas and stomach for months because he didn't like going to the doctor. Had we picked it up early, they could have operated and put him on immunotherapy. Please, go to the doctor early and regularly. It's not worth it, trust me.

> "Had we picked it up early, they could have operated and put him on immunotherapy."

Your story could be helpful to others. According to the doctors:

1) What is the years survived estimate of this vs doing nothing in your fathers situation (age, stage, etc)?

2) What are the side effects (and in general the quality of life) after/during this treatment vs doing nothing?

Also, these should both be some sort of histograms or at least ranges.

Re: U.S. Life Expectancy Falls Further

#262

I can think of a few other causes like sickness being a potentially bankrupting event so people don't go to a doctor when they should or too late. This apparently is a risk, even if you have insurance because you are at the mercy of insurers not tossing you out over such whimsical reasons as pre-existing conditions or other bureaucratic tricks they use to kill their customers rather than getting them cured. There are…

> shameless advertising on products where products that contain obscene amounts of corn syrup are advertised as "fat free" And there are "low carb" products that contain an obscene amount of fat. If people can't count calories, that's their tough luck. It's not rocket science.

In my experience, high fat isnt an issue since it makes you feel full... as long as you also aren't eating a lot ( > 20-100 g/day) of carbs. The real problem is they started pairing sugar and corn syrup and grains in general with high fat food.

Re: U.S. Life Expectancy Falls Further

#263

Earlier quoted context omitted.

Someone replied to you with an ignorant comment that was deleted. I'm copy/pasting it here anyway because they are spewing common misconceptions that need to be squashed. > The US has 330 million people. Do we really care if a bunch self-select out of the gene pool? While some people do choose to use drugs with their own free will, this epidemic isn't about that. Many people getting addicted have been initially presc…

I hate pharma companies too, and think they definitely were a part of the gateway to addiction, but you should read more about how the overdoses are occurring. As another user pointed out below: > "Drug-overdose deaths skyrocketed between 2015 and 2017, particularly for adults between ages 25 and 54. The main culprit was fentanyl and other synthetic opioids that became pervasive in illicit drug supplies in the U.S. a…

You're missing the link. Here's the chain of events for this epidemic.

1. Doctors over prescribe opioids and poorly monitor patient addiction.

2. Eventually, doctor cuts off patient.

3. Addicted patients turn to street drugs, like Chinese fentanyl.

4. Street drugs have unreliable dosage and ingredients, making it easy to accidentally overdose.

Re: U.S. Life Expectancy Falls Further

#264

Earlier quoted context omitted.

It doesn't seem insane to me, just a reflection of the reality that people sometimes buy unhealthy foods - for both legit and frivolous reasons. Sometimes your kid will only eat sugary cereals for breakfast, because children can be fussy eaters. Or maybe you want to kick back with a can of Coke after a hard day at work (or need the caffeine to wake up for work in the morning, and coffee is too expensive). Or you want…

Let me guess...American? Because coming from outside, the way you pile sugar into everything (including breakfast) is just insane and aa little stomach churning. Obviously it's a bit nurture on both our parts, but sugar for breakfast is crazy, as is being taught that things like soda or snickers should ever be eaten except for in exceptional/celebratory circumstances. One needs to be taught that those food stuffs are…

Guessed wrong! I do live in the US at present, however.

> Obviously it's a bit nurture on both our parts, but sugar for breakfast is crazy, as is being taught that things like soda or snickers should ever be eaten except for in exceptional/celebratory circumstances.

There's always a gap between how things should be done and how they are actually done. I personally don't eat sugary cereals, or drink soda. I like sweets and candy and I'll admit it's a struggle to control sometimes, especially when I'm stressed out. I won't judge someone in far worse circumstances than I for indulging in sugar - it might be the only good thing in their life. And I don't approve of government resources being spent on checking what kind of food people eat - you can get far more bang for your buck elsewhere.

Re: U.S. Life Expectancy Falls Further

#265
post #252

Earlier quoted context omitted.

It doesn't seem insane to me, just a reflection of the reality that people sometimes buy unhealthy foods - for both legit and frivolous reasons. Sometimes your kid will only eat sugary cereals for breakfast, because children can be fussy eaters. Or maybe you want to kick back with a can of Coke after a hard day at work (or need the caffeine to wake up for work in the morning, and coffee is too expensive). Or you want…

> Sometimes your kid will only eat sugary cereals for breakfast Present healthy food. Vary it day over day in case they really do have some strong dislike for something. If they don't eat it, they weren't very hungry. They will eat cereal every time you give it to them, no matter how hungry they are, which is part of the problem. Do not feed them crap because "that's all they'll eat".

I don't have children. I have friends who have children. I don't know if you have children. I have seen that children can be stubborn in their eating habits - I know I was.

Low-income parents may be hesitant to introduce new, healthy foods to kids because if the kid doesn't like it, it's time and money wasted (assuming the parent can't finish it). They're more likely to buy something the kid is sure to eat.

> If they don't eat it, they weren't very hungry

That's what I think to myself also whenever I see a parent running after a child trying to feed them. But parents can't seem to find peace unless the child finishes their meal. I've also heard children get cranky because they're hungry, but don't eat because they haven't learned that it will make them feel better. Being in that situation as a parent seems horrible. I'm willing to believe that stressed out low-income parents would rather that the kid eats anything, even crap, than face a meltdown.

> Do not feed them crap because "that's all they'll eat".

If I ever have children, this is my plan. But I have also heard that plans don't survive contact with the enemy...

Re: U.S. Life Expectancy Falls Further

#266
post #217

Earlier quoted context omitted.

More people die from it every year than Vietnam [Kind of off-topic] I'm guessing you mean by 'than Vietnam', 'than Americans died in the Vietnam war"? (Well I think so. Apologies if not.) That's a pretty macabre unit. Can you imagine how a Vietnamese person would feel reading that? Maybe in Vietnam they say 'More people die from [something] every year than America' - meaning what they call the American War[0]. Wouldn…

"edit: Downvoter, care to explain how I can improve my comment? Thanks. " By deleting it.

Please don't be a jerk on HN, regardless of how wrong someone is or you think they are.

Re: U.S. Life Expectancy Falls Further

#267

Earlier quoted context omitted.

> To me, it seems like life exectancy will improve again as the economy improves and governments find ways to fight fentynal. I find this exceedingly difficult to believe in the rural areas of the US. The current expansion is almost the longest on record, going on since 2009. The structural forces that have hollowed out the economies of rural areas (widening inequality, e-commerce, globalization, etc.) are only incre…

The biggest problem in the overdose spike is that fentanyl is killing very large numbers of people that otherwise might not have died of overdoses from heroin a decade or more ago. The US is being blasted from outside by huge quantities of fentanyl, primarily by China. It's bordering on an act of war (Opium War style). The notion that China can't stop the fentanyl pouring out of their country toward the US is ridicul…

Please don't take HN threads into nationalistic flamewar.

Re: U.S. Life Expectancy Falls Further

#268

Earlier quoted context omitted.

Yes that's sad. But consider: what would you call someone who injected strangers with noxious drugs and enjoyed their torment? An animal? Is it so big a leap to think the same, when they're doing it to themselves?

Yes, it's a major leap and the fact that you can't see it is concerning. If you are enjoying someone else's tourment, especially after you inflicted that tourment onto them, then you are a psychopath. People who take drugs aren't taking it for the hangover, they are taking it for the high. If you remove the tormenting hangover, 100% of users would be fine with that. You should seek psychiatric help and I'd be happy i…

Ha! Just playing devil's advocate, to help folks understand the alarm with which some folks see drug abuse.

I actually work in helping abusers control their addiction. I have all the access to mental health services I need, thanks.

Re: U.S. Life Expectancy Falls Further

#270
post #252

Earlier quoted context omitted.

> Sometimes your kid will only eat sugary cereals for breakfast Present healthy food. Vary it day over day in case they really do have some strong dislike for something. If they don't eat it, they weren't very hungry. They will eat cereal every time you give it to them, no matter how hungry they are, which is part of the problem. Do not feed them crap because "that's all they'll eat".

I don't have children. I have friends who have children. I don't know if you have children. I have seen that children can be stubborn in their eating habits - I know I was. Low-income parents may be hesitant to introduce new, healthy foods to kids because if the kid doesn't like it, it's time and money wasted (assuming the parent can't finish it). They're more likely to buy something the kid is sure to eat. > If they…

Yeah, I've got three of the little buggers. Thanks for keeping it civil, I could have been less blunt in my initial response.

I'm a little sensitive to this one because my wife and several of my friends are teachers and I gather it's really, really common for even fairly well-off kids' breakfast, every day, to be a couple pop-tarts. Which is a dessert, and isn't even on the healthier end of that category. As long as that continues to be as normal as it is, our obesity epidemic's going no-where.

Definitely don't blame low-income folks for doing what they need to do to get through the day, and yeah, food waste can really suck when you're not handing your kids hyper-palatable food for every meal, with the extra kick in the teeth that the hyper-palatable stuff's often easier to prepare. I mostly just weep for the future when I hear about the clearly-middle-class-or-higher folks doing that, or see them feeding their kids snacks (almost always crackers or similar) in the store to keep them docile, or whatever.

> If I ever have children, this is my plan. But I have also heard that plans don't survive contact with the enemy...

It's for sure harder to do it right. Snacks do shut them up, and in that weeks-to-months period when they just won't STFU at the store damn it, you do wanna just shove some crackers in their face so they'll quit making a scene. But if you do you'll have to keep doing it and then you're the parent with the six-year-old still snacking in the store. They will eat crap for any meal at all, or between meals, because it's crap and tastes freakin' amazing. That's the point of it. You just gotta suppress fear of judgement and keep in mind that the (medical) pros say skipping or picking at 50-60% of meals is totally normal for kids, and they will not starve themselves into ill health just because green beans don't trigger the same primal OMG-I-need-more-of-this responses as Doritos do.

The only place this is hard for us is with the grandparents. OMG there's no stopping them short of just cutting them off, which is too harsh for us to stomach. So much junk food. But that's how they eat too—they just don't get it, and that kind of deep cultural difficulty with food is why it's such a pain to do things right on an individual level. And school-provided lunches are pretty bad. The ones around here, at least, are clearly designed to shove as many calories as possible into the poorer kids, damn the nutrition and good eating habits.

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