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Atul Gawande @Atul_Gawande
, 6 tweets, 2 min read Read on Twitter
Massachusetts’ annual state death report is out with several striking findings.…
Mass. continues to avoid national drop in life expectancy. Average life expectancy inched upward to 80.7 yrs (vs 78.7 nationwide) in 2016 despite the state's persistently high opioid death rate.…
The starkest differences in death rates are not by race or gender, but by level of education. People with only a high school degree or less have a *350%* higher annual rate of death than others. That's not a typo.
The data suggest that MA’s investments in high education levels, economic opportunity, public health measures (e.g., tobacco/gun control, pro-exercise and healthy food policies), and near-universal health coverage are working.
MA’s persistently high opioid death rates, however, has produced a stunning shift between 2014 and 2016: black MA residents now live longer than non-Hispanic white residents, even despite higher infant mortality rates, due to lower deaths from opioid overdose.
Finally, re the end of life: Almost 2/3 of MA deaths are now at one’s place of residence – a remarkable change from two decades ago when the hospital was the primary place of death.

Find the full 2016 MA death report here:…
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