Resultsįemale life expectancy in the United States increased from 78.0 years in 1985 to 80.9 years in 2010, while male life expectancy increased from 71.0 years in 1985 to 76.3 years in 2010. We generated uncertainty distributions for life expectancy at each age using standard simulation methods. We applied a mixed effects Poisson statistical model and Gaussian Process Regression to estimate age-specific mortality rates for US counties from 1985 to 2010. An important dimension to poor national performance is the large disparities in life expectancy. The poor relative performance of the US compared to other high-income countries has attracted attention and raised questions about the performance of the US health system. For women, the 0.8 year decline in life expectancy was attributed mainly to mortality from COVID-19 (51.2% of the decline), unintentional injuries (14.8%), heart disease (5.7%), stroke (3.5%), and chronic liver disease and cirrhosis (2.4%).The United States spends more than any other country on health care. For men, the one-year decline in life expectancy was attributed primarily to mortality from COVID-19 (49.5% of the decline), unintentional injuries (19.1%), suicide (3.6%), chronic liver disease and cirrhosis (3.4%), and homicide (2.5%).
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