![]() Life expectancy rates and changes in life expectancy for counties are compared to the life expectancies across nations in 20. We propose, validate, and apply novel methods to estimate recent life tables for small areas to generate up-to-date estimates. We use newly released mortality data by age, sex, and county for the US from 2000 to 2007 to compute life tables separately for each sex, for all races combined, for whites, and for blacks. US disparities can be seen more clearly in the context of how progress in each county compares to international trends. It is critical to tracking progress of health reform legislation to have an up-to-date assessment of disparities in life expectancy across counties. Large disparities in health outcomes are well-documented in the US, but the most recent assessment of county disparities in mortality is from 1999. Responsible for 68% of the decline in life expectancy for the non-Hispanic white population.The United States health care debate has focused on the nation's uniquely high rates of lack of insurance and poor health outcomes relative to other high-income countries. To 77.6 years in 2020 – the lowest life expectancy for this population since 2002.
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