The world\u2019s richest large country, the city on a hill, seems to be coming apart.<\/p>\n

<\/span>\u2014<\/span>The Economist<\/span><\/em>(6\/14\/18) <\/span><\/span><\/span><\/p>\n

<\/a>In 2011 British epidemiologists Richard Wilkinson and Kate Pickett released the second edition of their book <\/span><\/span>The Spirit Level: Why Greater Equality Makes Societies Stronger<\/span><\/span><\/em>. It contained new evidence and a response to their critics. The authors studied levels of trust, mental illness, life expectancy, infant mortality, educational achievement, teen births, homicides, and incarceration rates. <\/span><\/span><\/p>\n

Among selected industrialized countries the authors found that the U.S. performed the worst on all ten indicators, and that the most consistent predictor was economic inequality.<\/span>Significantly, the more equal American states had better results on these issues.<\/span><\/span><\/span><\/p>\n

A common measure of economic inequality is the Gini scale where 0=complete equality and 100=complete inequality. All the countries in the authors\u2019 study (except Israel, Portugal, and Singapore) are 9 to 14 points below the U.S.\u2019s score of 41. They all did significantly better than the U.S. on the nine issues above.<\/span><\/span><\/span><\/p>\n

In their new book <\/span><\/span>The Inner Level: How More Equal Societies Reduce Stress, Restore Sanity, and Improve Everyone\u2019s Wellbeing<\/span><\/span><\/em>, Wilkinson and Pickett have gathered more data about inequality\u2019s negative effect on mental health. They submit that \u201cinequality eats into the heart of our immediate, personal world, and the vast majority of the population are affected by the ways in which inequality becomes the enemy between us.\u201d<\/span><\/span><\/p>\n

In a 2010 paper Wilkinson and Pickett<\/span>found that only 10 percent of Japanese and Germans suffered from some form of mental illness, while 20 percent of those in the United Kingdom and 25 percent of Americans did so. The Gini scores of Japan (32), Germany (31), the U.K. (34), and the U.S. (41) show, except for the UK, a significant correlation. <\/span><\/span><\/span><\/p>\n

Our authors cite research that showed that \u201cin 1980, 4 percent of Americans suffered a mental disorder associated with anxiety, today half do.\u201d Between 2007 and 2017 the number of Americans receiving Social Security Disability benefits due to a mental disorder increased 2.5 times.<\/span><\/span><\/span><\/p>\n

A survey by the World Health Organization revealed that \u201cthe life-time prevalence of any mental disorder was 55 percent in the U.S., 49 percent in New Zealand, 43 percent in the Netherlands, 33 percent in Germany, but only 20 percent in Nigeria and 18 percent in China.\u201d The criterion here was wealth and not necessarily income inequality.<\/span><\/span><\/span><\/p>\n

The most alarming statistic is increased mortality rates for American men without a college degree ages 45-54. They are dying because of drug and alcohol abuse, and their suicide rate is eight times the national average. As Princeton economist Anne Case states: \u201cThese people kill themselves slowly with alcohol or drugs, or quickly with a gun.\u201d From 2000 to 2016, 183,000 Americans died from<\/span><\/span>opioid overdoses.<\/span><\/span><\/span><\/p>\n

Young people are also suffering. In Britain, since 2011, there has been a 68 percent rise in rates of self-harm among girls aged 13 to 16, and 58 percent of British teachers believe that there is a mental health crisis in their schools. From 2010 to 2015 there was a 36 percent increase in depressive episodes among American adolescents. School bullying is also much more prevalent in unequal countries.<\/span><\/span><\/span><\/p>\n

Research has shown that status anxiety is much higher in unequal countries, and one study revealed that \u201c<\/span>people of lower status in hierarchies have higher levels in their blood of a clotting factor called fibrinogen, implying that their bodies are constantly on high alert to heal potential wounds.\u201d Level of self-worth are, as would be expected this study, are lower in unequal countries.<\/span><\/span><\/span><\/span><\/p>\n

Anxiety has been found to cause depression, drug addiction, and increases in suicidal thoughts, narcissism, and <\/span><\/span>schizophrenia<\/span>. Excessive drug use correlates tightly with economic inequality all over the world.<\/span><\/span><\/span><\/span><\/p>\n

Most people do not realize that narcissism is categorized as a mental illness in psychiatry\u2019s Diagnostic and Statistics Manual. From 1982 to 2006, psychologists administered the Narcissistic Personality Inventory to thousands of American college students, and they found that there was a 30 percent increase in the display of narcissistic symptoms. Two questions especially caught my eye: \u201cIf I ruled the world, it would be a better place,\u201d and \u201cI can live my life any way I want to.\u201d<\/span><\/span><\/span><\/p>\n

<\/a>Wilkinson and Pickett report an ever increasing \u201cdefensive, narcissistic presentation of self\u201d in unequal societies, and a reviewer from <\/span><\/span>The Guardian\u00a0<\/span><\/span><\/em>newspaper remarks that \u201cwe risk creating a society of mini-Trumps all clawing at one another\u2019s hairpieces.\u201d <\/span><\/span><\/span><\/span><\/p>\n

Trump certainly epitomizes this description of narcissistic people:<\/span><\/span>\u201cThey tend to lack empathy, react aggressively to criticism and favor self-promotion over helping others.\u201d Narcissists undermine the social fabric of those around them, but the one in the White House has upset economic and diplomatic relations throughout the world.<\/span><\/span><\/span><\/p>\n

Those who say that inequality is natural and preferable, because it induces people to try their best to move up the latter, has been proved wrong. Most European countries have higher social mobility rates than the U.S. does. While only 25 percent of Americans born in the lowest economic 20 percent move out of the bottom, a full 40 percent of Danes do. There are fewer and fewer Andrew Carnegies: only 7 percent of Americans now make it from the bottom to the top 20 percent.<\/span><\/span><\/span><\/span><\/p>\n

The \u201cAmerican dream\u201d is being fulfilled in other countries where higher taxes fund programs that produce lower abortion rates, lower infant and maternal mortality, lower teen births, higher high school and college graduation rates, fewer homicides, and far lower incarceration rates.<\/span><\/span><\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

The world\u2019s richest large country, the city on a hill, seems to be coming apart. \u2014The Economist(6\/14\/18) In 2011 British epidemiologists Richard Wilkinson and Kate Pickett released the second edition of their book The Spirit Level: Why Greater Equality Makes…<\/p>\n