“in 2022, the death rate for American infants increased for the first time in 20 years.”
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“rates of congenital syphilis — that is, syphilis infections acquired in the womb — have risen tenfold over the past decade.
Although a lot of different risk factors drive each of these trends, there’s an important one they have in common: bad — and worsening — health care access for mothers and babies.
In the US, the obstacles mothers face in accessing health care are too often insurmountable — and as this latest data shows, the consequences to American children are dire. Things might only get worse, some experts fear, as financial, political, and social pressures drive providers further from many of the places where they’re needed most.
“We only are hearing about more [obstetricians] leaving and more maternity wards closing,” said Tracey Wilkinson, a pediatrician who specializes in reproductive health issues at Indiana University’s medical school. “I am terrified about what the data is going to look like next year.””
“Laura Ann Carleton, 66, a California business owner, was shot and killed last weekend after a gunman tore down an LGBTQ Pride flag hanging outside her store and shouted homophobic slurs. Since then, law enforcement has revealed that the gunman — who was killed in an encounter with police — also posted numerous anti-LGBTQ posts on social media accounts they believe are affiliated with him.”
“In the EU, car fatalities, already far lower than America’s, were down by 22 percent over the last decade. Car crashes are just behind guns as the second greatest killer of US children. Black, Hispanic, and Indigenous Americans are disproportionately likely to be killed by a car. Merely taking a walk outside is becoming particularly dangerous: about 7,508 pedestrians were killed by cars last year, the highest number since 1981 and a massive increase over the last decade”
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“there’s a lot we can learn from the aviation system’s approach to passenger safety.
The most obvious is that we shouldn’t accept carnage just because the activity seems inherently dangerous. If we can figure out how to make it exceptionally safe to hurtle through the sky at over 500 miles per hour, we can definitely figure out how to keep people alive on the ground, especially because other countries have done it already. The Netherlands is a famous example, but others, including Canada, with an urban geography much more similar to ours, have steadily decreased their death rates to levels far lower than ours.
A second lesson from the aviation sector is that safety is a systemic responsibility. “The [air] safety regime, with its built-in redundancies, is known in aviation circles as the Swiss cheese model: If a problem slips through a hole in one layer, it will be caught by another,” the New York Times explained, which has added up to a near-spotless safety record.
Compare that to the situation in car safety, where high death rates are accepted as a baseline part of how the system works rather than an institutional failure. Media coverage treats surges in crash deaths as if they are uncontrollable fluctuations in the weather and blames people driving recklessly for getting themselves killed. In the American traffic engineering bureaucracy, there’s a widely circulated myth that the vast majority of crashes are caused by “human error,” transportation writer David Zipper explained in the Atlantic in 2021.
Of course, individuals making unsafe choices — speeding, say, or driving drunk — matters. But these are distractions from what makes the American system of driving so unsafe in the first place: we have a proliferation of fundamentally unsafe roads, known among traffic safety advocates as “stroads,” that combine wide lanes and speeds higher than 25 miles per hour with frequent turns, stops at traffic lights, and shared traffic with cars, pedestrians, and bikes. With all these conflict points, it’s inevitable that collisions will happen.”
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“A third lesson from aviation is that dangerous technology has to be adequately regulated. Empirical research increasingly shows that the rapid takeover of big cars — SUVs and pickup trucks — is a major factor behind our car safety backslide over the last decade. But US Transportation Secretary Pete Buttigieg has declined to call for policies to discourage the proliferation of these vehicles (like Washington, DC’s tax on oversized cars).”
““The No. 1 weather-related killer is heat,” said Tim Cady, a meteorologist with the Houston office of the National Weather Service. “But most people don’t realize how sick it can make you because it’s not as visible as hurricanes or flash floods.””
“There’s no single explanation for why it’s getting more dangerous to walk on US roads, but there are a few major contributing factors. One is deadly road design. In the decades after World War II, new communities emerged, centered on the premise that inhabitants would drive everywhere. Governments and regional planners designed wide, multi-lane arterial roads for high-speed travel. In the years since, traffic engineers and planners continued to widen those roads and add lanes, ostensibly to address congestion, while local officials approved commercial development alongside them. It led to what former traffic engineer and Strong Towns founder Charles Marohn calls “stroads.””
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“Another major factor contributing to climbing pedestrian fatalities is the American love affair with big vehicles.”
“Yet the perpetrator, who was killed by a police officer at the scene, had been licensed as an armed security guard, which means he passed a background check and was legally allowed to own firearms.
In that respect, the killer was typical of people who commit crimes like this. That is the main reason why expanded background checks cannot reasonably be expected to have much of an impact on mass shootings, contrary to the impression left by politicians who reflexively recommend that solution.
Federal law disqualifies broad categories of Americans from owning firearms, including people who have been convicted of felonies or subjected to court-ordered psychiatric treatment. Background checks are required for all gun sales by federally licensed dealers, and some states extend that requirement to transfers by private sellers.
As several news outlets noted after the Allen attack, Texas is not one of those states. But that detail does not seem relevant in this case: Although the killer bought some guns from private sellers, CNN reported, the rifle he used in the attack was “purchased legally,” meaning he was not a “prohibited person” under federal law.”
“In 2020, gun violence surpassed traffic accidents, cancer, suffocation, and poisoning as the leading cause of death among children and teens. That makes the US exceptional: In no other wealthy or similarly sized country is gun violence one of the top four causes of death among children and teens, let alone the leading one, according to a 2022 analysis by the Kaiser Family Foundation. That analysis also showed that the US accounts for 97 percent of all child and teen firearm deaths among its peer countries.
Most of those US deaths are caused by assault, with 3.6 children and teens per 100,000 dying on that account in 2020. By comparison, 1.7 and 0.3 per 100,000 children and teens died from firearm suicide and unintentional or undetermined firearm-related causes, respectively.
Children and teens in the US also experience ongoing secondary effects from gun violence, even if they are not injured in a shooting. Researchers at Penn Medicine found in a 2021 study of more than 2,600 shootings that there was a significant spike in emergency department visits for mental health issues among children after neighborhood shootings, with the most acute effects observed among children living closest to the site of the shooting and those who have witnessed multiple shootings.”
“54 percent of the approximately 77 million gun owners in the US do not practice safe gun storage, according to a 2018 Johns Hopkins Bloomberg School of Public Health survey. And one-third of these households with dangerously stored guns are also home to children.
This is a fact that should alarm us. In 2020, firearms surpassed car accidents as the leading cause of death for American children, with 4,357 children killed by gunfire that year. While the majority of child deaths from guns are due to homicide, an average of 35 percent between 2018 and 2021 were suicides, while 5 percent were caused by unintentional, accidental shootings.”