Catastrophe losses of $61 billion in 2020 were notably more severe than in 2019, with a record number of catastrophic events in the United States in 2020.46 Despite the more severe catastrophic event losses, lower losses in personal and commercial auto and workers’ compensation lines kept total loss and loss adjustment expenses flat from 2019 to 2020. Reserve development was again favorable in 2020, adding to underwriting profits. Figure 24 shows losses from catastrophic events in the United States since 2016, and Figure 25 shows reserve development over the same period.47 The expense ratio decreased very slightly from 2019 to 2020.
America is recording nearly 2,000 covid-19 deaths a day, according to a seven-day average compiled by Johns Hopkins University. That is only 40% below the country’s January peak. But the true death toll is even worse. The Economist’s excess-deaths model, which estimates the difference between the actual and the expected number of deaths recorded in a given period, suggests that America is suffering 2,800 pandemic deaths per day, with a plausible range of 900 to 3,300, compared with 1,000 (150 to 3,000) in all other high-income countries, as defined by the World Bank. Adjusting for population, the death rate is now about eight times higher in America than in the rest of the rich world.
Although there is a large gap between Black and White American life expectancies, the gap fell 48.9% between 1990-2018, mainly due to mortality declines among Black Americans. We examine age-specific mortality trends and racial gaps in life expectancy in rich and poor U.S. areas and with reference to six European countries. Inequalities in life expectancy are starker in the U.S. than in Europe. In 1990 White Americans and Europeans in rich areas had similar overall life expectancy, while life expectancy for White Americans in poor areas was lower. But since then even rich White Americans have lost ground relative to Europeans. Meanwhile, the gap in life expectancy between Black Americans and Europeans decreased by 8.3%. Black life expectancy increased more than White life expectancy in all U.S. areas, but improvements in poorer areas had the greatest impact on the racial life expectancy gap. The causes that contributed the most to Black mortality reductions included: Cancer, homicide, HIV, and causes originating in the fetal or infant period. Life expectancy for both Black and White Americans plateaued or slightly declined after 2012, but this stalling was most evident among Black Americans even prior to the COVID-19 pandemic. If improvements had continued at the 1990-2012 rate, the racial gap in life expectancy would have closed by 2036. European life expectancy also stalled after 2014. Still, the comparison with Europe suggests that mortality rates of both Black and White Americans could fall much further across all ages and in both rich and poor areas.
Author(s): Hannes Schwandt, Janet Currie, Marlies Bär, James Banks, Paola Bertoli, Aline Bütikofer, Sarah Cattan, Beatrice Zong-Ying Chao, Claudia Costa, Libertad Gonzalez, Veronica Grembi, Kristiina Huttunen, René Karadakic, Lucy Kraftman, Sonya Krutikova, Stefano Lombardi, Peter Redler, Carlos Riumallo-Herl, Ana Rodríguez-González, Kjell Salvanes, Paula Santana, Josselin Thuilliez, Eddy van Doorslaer, Tom Van Ourti, Joachim Winter, Bram Wouterse & Amelie Wuppermann
Methods: We quantified COVID-19-associated caregiver loss and orphanhood in the US and for each state using fertility and excess and COVID-19 mortality data. We assessed burden and rates of COVID-19-associated orphanhood and deaths of custodial and co-residing grandparents, overall and by race/ethnicity. We further examined variations in COVID-19-associated orphanhood by race/ethnicity for each state.
Results: We found that from April 1, 2020 through June 30, 2021, over 140,000 children in the US experienced the death of a parent or grandparent caregiver. The risk of such loss was 1.1 to 4.5 times higher among children of racial and ethnic minorities, compared to Non-Hispanic White children. The highest burden of COVID-19-associated death of parents and caregivers occurred in Southern border states for Hispanic children, Southeastern states for Black children, and in states with tribal areas for American Indian/Alaska Native populations.
Author(s): Hillis SD, Blenkinsop A, Villaveces A, et al.
Publication Date: 2021, accessed 12 Oct 2021
Citation: Hillis SD, Blenkinsop A, Villaveces A, et al. COVID-19-associated orphanhood and caregiver death in the United States. Pediatrics. 2021; doi: 10.1542/peds.2021-053760
A look at the pattern of weekly deaths, all causes, for the entire United States through the beginning of September 2021, as well as: California Texas New York (minus NYC) New York City Pennsylvania Illinois CDC excess mortality dashboard: https://www.cdc.gov/nchs/nvss/vsrr/co…
In 1989, only 12.4% of the population was age 65 or older. In 2019, we had 16.5% of the population in that age bucket.
The changing age structure means that one can have mortality rates trending down for all ages, but the crude death rate climbs because the population is getting older. It’s definitely driven by people living longer (due to those lower mortality rates), but also driven by fewer babies being born.
Apart from states with declines—West Virginia, Mississippi, and Illinois—the slowest population growth rates were recorded in Connecticut (0.09%); Michigan (0.19%); and Ohio, Wyoming, and Pennsylvania (0.23% each).
States experiencing their slowest decade of growth ever were Illinois, Connecticut, and six others: Missouri (0.27%), Wisconsin (0.36%), California (0.60%), Hawaii (0.68%), Arizona (1.13%), and Florida (1.37%).
After Utah, Idaho, and Texas, the next fastest-growing states over the past decade were North Dakota (1.48%), Nevada (1.40%), Colorado (1.39%), and Washington and Florida (both 1.37%).
Growth was faster in the 2010s than in the 2000s in only 12 states: Iowa, Louisiana, Massachusetts, Michigan, Nebraska, New Jersey, New York, North Dakota, Ohio, Rhode Island, South Dakota, and Washington.
Author(s): Barb Rosewicz, Melissa Maynard, Alexandre Fall
ON JULY 4TH President Joe Biden stood on the White House lawn to declare that America was nearing independence from the coronavirus. But with covid-19 not fully “vanquished”, he called upon his fellow citizens to get vaccinated, telling them that “it’s the most patriotic thing you can do.” About 55% of Americans over the age of 12 have now been fully vaccinated, and a further 10% have had the first of two doses. But in recent weeks America’s vaccination rate has slowed markedly. In April 3m doses were administered each day; since June that figure has fallen to an average of 1m per day.
There are three possible explanations for this slow-down. The first is that it is typical for vaccination rates to fall as more people are jabbed, since those in cities and other easy-to-reach areas are likely to have been targeted already. Yet America does not appear to have reached such a threshold. Other rich countries, such as sparsely populated Canada, continued to vaccinate at a decent clip until about 75% of their populations had received their first dose (see left-hand chart). Germany, which has vaccinated a similar proportion of its citizens as America, is currently vaccinating at nearly three times the rate.
The pandemic has killed about 0.9% of Americans over age 65, and it has also reduced the number of babies born in 2020 by 4%, to 3.6 million, according to data from the National Center for Health Statistics.
That’s the biggest drop since 1973, when fear of overpopulation led many U.S. mothers to give up on the idea of having more than two children.
Life expectancy in the United States between 2018 and 2020 decreased by 1.87 years (to 76.87 years), which is 8.5 times the average decrease in other high-income nations. What’s more, decreases in life expectancy among Hispanic and non-Hispanic Black people were about two to three times greater than in the non-Hispanic White population, reversing years of progress in reducing racial and ethnic disparities. The life expectancy of Black men (67.73 years) is the lowest since 1998.
Those are key findings of a study conducted by researchers at the Virginia Commonwealth University School of Medicine, the University of Colorado Population Center and the Urban Institute in Washington, D.C., and published in The BMJ — a peer-reviewed medical trade journal of the British Medical Association.
Seemingly overnight, the COVID-19 pandemic launched millions of Americans into a massive work-from-home experiment, with roughly 7 in 10 workers who could work remotely doing so in May 2020.
But from a bird’s eye view, the way Americans moved in 2020 looks pretty much the same as it has for years. More people moved out of the biggest cities than moved in, while smaller cities and suburbs grew — especially in Arizona, Florida and Texas.
In the United States and other developed countries, fertility tends to drop during periods of economic decline. U.S. fertility rates fell to low levels during the Great Depression (1930s), around the time of the 1970s “oil shock,” and since the onset of the recent recession in 2007 (see Figure 1). The U.S. total fertility rate (TFR) stood at 2.0 births per woman in 2009, but preliminary data from the National Center for Health Statistics show that the TFR dropped to 1.9 in 2010—well below the replacement level of 2.1.1 A similar decline—or leveling off—of fertility rates has been reported in Ireland, Italy, Spain, Sweden, and several other European countries.