Peter R Orszag, Columnist

Extraordinary Stress and Pessimism Take a Grim Toll

Why poor Americans are dying younger.

Shrinking lifespan.

Photographer: Spencer Platt/Getty Images

Life expectancy in the U.S. declined slightly in 2016, as it did in 2015, and — at least as important — the overall trends continue to mask increasing disparities across socioeconomic groups. Carol Graham of the Brookings Institution helps explain why. Her important new book is the empirical version of "Hillbilly Elegy."

I have long suspected that stress and lack of hope are to blame for widening the gap in life expectancy between lower and higher earners. Graham uses survey data to support this explanation, documenting striking differences in stress and optimism across segments of the population.