The author of democracy in america was6/21/2023 ![]() ![]() Methods: We used the State Democracy Index (SDI), an annual summary of each state’s electoral democracy from 2000 to 2018. This study examined the association between electoral democracy and working-age mortality and assessed how economic, behavioral, and social factors may have contributed to it. Although several reasons for the high and rising rates have been hypothesized, the potential role of democratic erosion has been overlooked. State and federal efforts to strengthen electoral democracy, such as banning partisan gerrymandering, improving voter enfranchisement, and reforming campaign finance laws, could potentially avert thousands of deaths each year among working-age adults.Ĭontext: Working-age mortality rates are high and rising in the United States, an alarming fact that predates the COVID-19 pandemic.Eroding electoral democracy in a US state was associated with higher working-age mortality from homicide, suicide, and especially from drug poisoning and infectious disease.The erosion of electoral democracy in the United States in recent decades may have contributed to the high and rising working-age mortality rates, which predate the COVID-19 pandemic. ![]()
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