Covid-19 has caused the largest decline in U.S. life expectancy since World War II, the federal government reported yesterday. But Covid is not the only reason that life expectancy in this country fell last year to its lowest level in almost two decades.

Even before the pandemic, the U.S. was mired in an alarming period of rising mortality. It had no modern precedent: During the second half of the 2010s, life expectancy fell on a sustained basis for the first time since the fighting of World War II killed several hundred thousand Americans.

have explained. Many people feel less of a connection to an employer, a labor union, a church or community groups. They are less likely to be married. They are more likely to endure chronic pain and to report being unhappy.

These trends have led to a surge of “deaths of despair” (a phrase that Case and Deaton coined), from drugs, alcohol and suicide. Other health problems, including diabetes and strokes, have also surged among the working class. Notably, the class gaps in

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