Red State - Blue State -  Mortality Rate

Posted by Dike Drummond MD

HOLD THE PRESSES - please tell me why this is not Front Page News?

BMJ study of correlation between U.S. MORTALITY DATA and ELECTION DATA from 2001 to 2019

"People in counties that voted for Republican presidential candidates were more like to die prematurely than those in counties that voted for Democratic candidates, and the gap has grown six-fold over the last two decades."

The Smoking Gun??

The core reason for the mortality differences is whether or not your region was able to benefit from the expansion of Medicaid under Obamacare. This obviously life saving  Medicaid Expansion was mostly implemented in areas with Democrat elected representatives and not implemented in areas with Republican elected representatives.

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This impacts physicians too:
Medicaid availability, moral injury and physician burnout

There is nothing that causes moral injury in healthcare faster than knowing what you want to do for a patient - and the "rules of the game" don't allow that therapy to take place.

A prime example is whether or not Medicaid is available to this indigent or working class patient in your exam room. The availability of Medicaid is a political decision and a constraint the physicians, nurses and staff cannot control = moral injury = a clear cause of physician burnout



"the sharpest divide is seen among white Americans. In fact, the fourfold growth in the gap in death rates between white residents of Democratic and Republican areas seems to be driving most of the overall expanding chasm between Democratic and Republican areas."

Wait a minute, denying Medicaid to your people results in more white people dying? Pretty sure this information is a bit of a surprise to many people. 

  • I have no intention of creating a political firestorm here in the comments.

  • This is new data with what feels to me like unexpected findings.

  • Please draw your own conclusions and please leave a comment below to let us know what you think.


Quick Side Note:
Of the 8 authors, 7 are US based, yet the study is published across the pond by the BMJ. Another Hmm... from me. How about you?



👉 Here is the ARTICLE about the Study at STAT News 

👉 Here is the BMJ Study

Political environment and mortality rates in the United States, 2001-19: population based cross sectional analysis
BMJ 2022377 doi: (Published 07 June 2022)Cite this as: BMJ 2022;377:e069308

👉 Here is a PDF Download of the full study at the BMJ




Are you surprised?
What do you think this means?



Tags: stop physician burnout