https://orcid.org/0000-0002-0815-1706
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Linda P Fried, Maureen Henry, John R Beard, John W Rowe, Public Health 4.0: Creating Health for Longer Lives, Public Policy & Aging Report, Volume 33, Issue 3, 2023, Pages 86–91, https://doi.org/10.1093/ppar/prad016
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The United States added 30 years to human life expectancy since 1900, an unprecedented achievement (Frieden, 2015). Many gains in human life expectancy since 1900 resulted from interventions affecting all people, such as reduction in air and water pollution, improved food and water safety, and better control of infectious diseases. In recent years, however, lifespan gains in the United States have reversed, influenced by declines in life expectancy among subpopulations, such as those with less than a high school education (National Research Council and Committee on Population, 2013), and the number of years people are living with ill health, a “decompression of morbidity” (Rowe & Berkman, 2022). This decreasing health span (years in good health) has occurred as an emerging body of evidence suggests that improved population health is possible, even into the oldest ages (Langa, 2015). Democratizing good health and function for all across the life course and at older ages would be a game changer for the future of the United States.
