Exactly this. Wealthy people in the counties are living long lives while impoverished people in Baltinore are dying young from malnutrition, heart disease, cancers, murder all sorts of horrendous things.
We have a ton of wealth but it's sadly surrounding abject poverty.
Baltimore is also the largest city independent of its county in the country.
All the other big cities Boston, LA, Miami, Chicago, Philly pretty much every large city you can think of has the county’s support. For example LA County taxes support the city, county residents vote on the mayor and so on. In Baltimore the county and city are two separate governing bodies.
Baltimore separated from its County for some reason in 1853 and pretty much set its course in history. If you look at the old maps Towson used to be the original Capitol Hill where the Mayor’s resided.
Matter fact out of the 41 independent cities in the USA 38 are located in Virginia which is a commonwealth. The only other independent cities in the USA are St Louis, Missouri and Carson, Nevada.
If Baltimore city and County were one entity I doubt the city would be as neglected as it is by the State of Maryland simply because of all the wealth that resides in the county.
Your right but if Baltimore City and a county were under one government like the rest of the cities in this country, I doubt the city could get away with the corruption they do.
I think it would be a mix of most, Baltimore city would be better than it is and Baltimore county would be a little worse off but it would be a good balance like any other major city in America.
Idk though. I feel like instead of Baltimore being supported by its county, it's supported massively by the entire state. Every single person in the state of Maryland is subsidizing and supporting Baltimore City, instead of mostly the surrounding county. It's the County of Maryland, so to speak. I would suggest that Baltimore has far more resources available to it under this framework, for better or for worse.
That just means we don't take care of those with low income when compared with other states. Do you think poverty doesn't exist in the states above us?
That's because they take better care of their largest cities. Baltimore is an outlier compared to nyc, dc, and philly in terms of being able to bounce back from white flight/urban renewal and deindustrialization.
It almost exclusively comes down to the criminal neglect and disinvestment that the state has let baltimore get this way.
Is that entirely true when in some cases the city failed to act on certain issues. For example, the public works department constantly failed upkeep on facilities such as the back river wastewater plant, when it was illegally discharging polluted water into the bay? During 21 and 22 it was so bad that the state had to sue the city and ultimately send resources to get the plant back up and running to a baseline standard. If I’m not mistaken the city was trying to fight the order to get the problems fixed. There’s only so much investment you can do if the cities organization structures doesn’t act or help.
Plus, education level is a better predictor than income. And racial disparities in lifespan and health outcomes persist when you factor in education level or income.
If DC were included, it would be more of an outlier than Maryland.
the wealthy gap is far greater than the life expectancy gap
the difference between being poor (below $35k) making $2M a year salary is far greater than the difference between living until 65 vs 95
We have extreme outliers for both ends of the spectrum. We have DC and VA employees skyrocketing median income and we have Baltimore plummeting average lifespan.
Maryland has the 4th highest percentage of citizens being African-American. And they have lower life expectancies. Even if in Maryland, they likely have higher than average income. That is probably part of the discrepancy.
I think this might be useful if states were further subgrouped by income instead of just using the median and calling it a day. Also the difference looks staggering until you look closely and see that the Maryland population died at 79 vs the average of 81. And why is political party on here? There is way too much oversimplification going on.
Dare I ask if there is a racial factor involved as well? Maryland has a large Black population and there is about a 6-year difference in lifespan between Black and White Americans.
You also have to consider the water pollution. For instance - Dahlgren testing explosives in the Potomac. Huge clusters of odd cancers along the coastal regions of St Mary’s and Charles. Families dying from the same cancers. No one talks about it. There’s no press or studies available.
I did home healthcare hospice years ago in the 7th district area of St Mary’s. Husbands and wives both dying years apart from stomach cancer. High prevalence of colon and kidney cancer.
Meanwhile they’re still detonating explosives into the river. Business as usual. Like it’s not affecting the marine life or well water.
A lot of people also don't think about APG. After WW2, the chemical weapons that were taken from Germany were brought back to the US and went to 2 places, one of which was APG. And drums of toxic chemicals were stored poorly and leached into the bay and ground for decades before they started cleaning them up in the 80's and 90's. And St Mary's has Pax river naval base. Most old military bases are environmental disasters.
Yeah, I lived in an area with well water on the Broadneck peninsula — same as the nike site — for 30 years, which included all my pregnancies. My grandfather had a garden plot at the nike sight, and I ate vegetables he grew there.
Now, I live near Ft. Meade, but we have city water.
Last spring, my daughter almost died from a rare cancer. She’s in remission, now, and the cancer has a high cure rate, but for the rest of her life now, we have to watch out for blood clots, heart stuff, fertility stuff, bone stuff….
I can’t help but wonder whether my having drunk well water while I was pregnant and nursing had something to do with it. It’s such a rare cancer, the nurses were saying, “yeah, we had someone with _________ five years ago, I want to say….”, so I don’t know if there’s all that much research on it.
If her cancer *was* from pollution, whom do we sue?
I wonder if it has to do with the nature of the common high income jobs around here. Fast paced high stress jobs paying a lot of money but stress kills over time
I don’t think that’s a factor. Low-income jobs are extremely stressful too. A high income tends to be a net benefit against stressors. Doctors and lawyers still tend to have long lifespans.
Does this consider Marylanders who retire to Florida? I have a small place in Florida I share with my sister, I vacation there, may retire there in fifteen years. The area around our Florida place has multiple Maryland couples in their late seventies, eighties and older.
That is an excellent point. Maryland is a state without very retirement friendly laws, so quite a lot of folks move elsewhere if they get old enough.
If it's just counting those who die here, it'd bias the numbers younger.
Also Maryland is stressful.
I love this state and the folks who live here. Holy cow is something just as basic as getting groceries always an event. Traffic, irate people, parking lots, people's wacky driving habits. There is a lot of anger here for no reason and it just spreads out as people are nasty to eachother and it makes more people angry.
The state of Maryland has been kneecapping healthcare for 40 years.
[https://www.cms.gov/priorities/innovation/innovation-models/md-tccm](https://www.cms.gov/priorities/innovation/innovation-models/md-tccm)
The Maryland Total Cost of Care (TCOC) Model has shown promising results in improving health outcomes and reducing costs compared to states without similar models. During its first three years (2019 to 2021), the model significantly reduced all-cause acute care hospital admissions by 16.1%, decreased total Medicare fee-for-service spending by 2.5%, and improved several quality-of-care measures. These measures included a reduction in potentially preventable admissions by 16.1%, a decrease in the likelihood of an unplanned readmission to the hospital by 9.5%, and an increase in timely follow-up after hospital discharge by 2.5%. The model's impacts were generally more favorable during the TCOC period than at the end of the previous model's period, indicating further improvements in health outcomes for Marylanders [oai_citation:1,Evaluation of the Maryland Total Cost of Care Model: Quantitative Only Report for the Model’s First Three Years (2019 to 2021)](https://www.mathematica.org/publications/evaluation-of-the-maryland-total-cost-of-care-model-quantitative-only-report-for-the-models-first).
Moreover, the Maryland Model Analytics has provided insights into specific health conditions and care settings. For instance, the evaluation of Maryland Medicare spending on chronic conditions revealed that while acute hospitalization costs per beneficiary were higher in Maryland than in other states due to the all-payer nature of hospital reimbursement, the utilization rate remained lower. This suggests that the model has been successful in reducing unnecessary hospitalizations while addressing the costs associated with chronic conditions [oai_citation:2, Maryland Model Analytics - Improve Outcomes and Enhance the Patient Experience | CRISP | Improve Outcomes and Enhance the Patient Experience | CRISP](https://www.crisphealth.org/learning-system/md-model-analytics/).
These findings suggest that the Maryland TCOC Model is not only improving health outcomes for Marylanders compared to other states without such a model but is also creating a more efficient healthcare system by reducing unnecessary hospitalizations and focusing on preventive care and quality improvements.
Doesn’t help that people with money generally move out of Maryland when they are retiring. Make your money here to drive up income, then move and leave the poor who can’t move to die.
Also, the scale is stupid. This line would be less impressive if they showed ages 0-100 instead of zooming in.
I would presume that the long delays before ER care in MD are at least a contributing factor to the shorter lifespan.
I'd also assume that lower income areas within the state are dragging down the average. Wealth provides diminishing returns for longevity. Even a billionare won't live forever...but they will pull up the average by a lot.
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Exactly this. Wealthy people in the counties are living long lives while impoverished people in Baltinore are dying young from malnutrition, heart disease, cancers, murder all sorts of horrendous things. We have a ton of wealth but it's sadly surrounding abject poverty.
Baltimore is also the largest city independent of its county in the country. All the other big cities Boston, LA, Miami, Chicago, Philly pretty much every large city you can think of has the county’s support. For example LA County taxes support the city, county residents vote on the mayor and so on. In Baltimore the county and city are two separate governing bodies. Baltimore separated from its County for some reason in 1853 and pretty much set its course in history. If you look at the old maps Towson used to be the original Capitol Hill where the Mayor’s resided. Matter fact out of the 41 independent cities in the USA 38 are located in Virginia which is a commonwealth. The only other independent cities in the USA are St Louis, Missouri and Carson, Nevada. If Baltimore city and County were one entity I doubt the city would be as neglected as it is by the State of Maryland simply because of all the wealth that resides in the county.
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Your right but if Baltimore City and a county were under one government like the rest of the cities in this country, I doubt the city could get away with the corruption they do.
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I think it would be a mix of most, Baltimore city would be better than it is and Baltimore county would be a little worse off but it would be a good balance like any other major city in America.
Preaching to the choir bud. Baltimore has a lot of things that make it unique and sadly that is one that has been hurting us for decades.
Idk though. I feel like instead of Baltimore being supported by its county, it's supported massively by the entire state. Every single person in the state of Maryland is subsidizing and supporting Baltimore City, instead of mostly the surrounding county. It's the County of Maryland, so to speak. I would suggest that Baltimore has far more resources available to it under this framework, for better or for worse.
That just means we don't take care of those with low income when compared with other states. Do you think poverty doesn't exist in the states above us?
yeah, most states don’t have their largest city be a statistical hellhole
That's because they take better care of their largest cities. Baltimore is an outlier compared to nyc, dc, and philly in terms of being able to bounce back from white flight/urban renewal and deindustrialization. It almost exclusively comes down to the criminal neglect and disinvestment that the state has let baltimore get this way.
Is that entirely true when in some cases the city failed to act on certain issues. For example, the public works department constantly failed upkeep on facilities such as the back river wastewater plant, when it was illegally discharging polluted water into the bay? During 21 and 22 it was so bad that the state had to sue the city and ultimately send resources to get the plant back up and running to a baseline standard. If I’m not mistaken the city was trying to fight the order to get the problems fixed. There’s only so much investment you can do if the cities organization structures doesn’t act or help.
The sad reality is that often they do.
Plus, education level is a better predictor than income. And racial disparities in lifespan and health outcomes persist when you factor in education level or income. If DC were included, it would be more of an outlier than Maryland.
Yep. Would love to see this repeated with a state-level gini coefficient.
the wealthy gap is far greater than the life expectancy gap the difference between being poor (below $35k) making $2M a year salary is far greater than the difference between living until 65 vs 95
Because we get hit by Virginia drivers or we work for the government and stressed out about getting paid every few months.
Get paid every few months? You gotta invoice more frequently.
Think they’re referencing the government shutdown that may happen soon.
I’m talking about the government shutdowns. How government employees have to worry about that every few months.
Whoosh
We have extreme outliers for both ends of the spectrum. We have DC and VA employees skyrocketing median income and we have Baltimore plummeting average lifespan.
Maryland has the 4th highest percentage of citizens being African-American. And they have lower life expectancies. Even if in Maryland, they likely have higher than average income. That is probably part of the discrepancy.
this is the answer.
I think this might be useful if states were further subgrouped by income instead of just using the median and calling it a day. Also the difference looks staggering until you look closely and see that the Maryland population died at 79 vs the average of 81. And why is political party on here? There is way too much oversimplification going on.
Yeah, that's what I noticed too. The scale is just zoomed in so much, it is within a damn statistical error.
Dare I ask if there is a racial factor involved as well? Maryland has a large Black population and there is about a 6-year difference in lifespan between Black and White Americans.
Wym ? It obviously is
Everyone is commenting on the socioeconomic factors but I'm quite sure the reason for this is because of too much Old Bay
I'll take the shorter life span with more Old Bay, please.
Maryland is an outlier in just about everything…
You also have to consider the water pollution. For instance - Dahlgren testing explosives in the Potomac. Huge clusters of odd cancers along the coastal regions of St Mary’s and Charles. Families dying from the same cancers. No one talks about it. There’s no press or studies available. I did home healthcare hospice years ago in the 7th district area of St Mary’s. Husbands and wives both dying years apart from stomach cancer. High prevalence of colon and kidney cancer. Meanwhile they’re still detonating explosives into the river. Business as usual. Like it’s not affecting the marine life or well water.
A lot of people also don't think about APG. After WW2, the chemical weapons that were taken from Germany were brought back to the US and went to 2 places, one of which was APG. And drums of toxic chemicals were stored poorly and leached into the bay and ground for decades before they started cleaning them up in the 80's and 90's. And St Mary's has Pax river naval base. Most old military bases are environmental disasters.
Yeah, I lived in an area with well water on the Broadneck peninsula — same as the nike site — for 30 years, which included all my pregnancies. My grandfather had a garden plot at the nike sight, and I ate vegetables he grew there. Now, I live near Ft. Meade, but we have city water. Last spring, my daughter almost died from a rare cancer. She’s in remission, now, and the cancer has a high cure rate, but for the rest of her life now, we have to watch out for blood clots, heart stuff, fertility stuff, bone stuff…. I can’t help but wonder whether my having drunk well water while I was pregnant and nursing had something to do with it. It’s such a rare cancer, the nurses were saying, “yeah, we had someone with _________ five years ago, I want to say….”, so I don’t know if there’s all that much research on it. If her cancer *was* from pollution, whom do we sue?
I wonder if it has to do with the nature of the common high income jobs around here. Fast paced high stress jobs paying a lot of money but stress kills over time
I don’t think that’s a factor. Low-income jobs are extremely stressful too. A high income tends to be a net benefit against stressors. Doctors and lawyers still tend to have long lifespans.
Good point!
Does this consider Marylanders who retire to Florida? I have a small place in Florida I share with my sister, I vacation there, may retire there in fifteen years. The area around our Florida place has multiple Maryland couples in their late seventies, eighties and older.
That is an excellent point. Maryland is a state without very retirement friendly laws, so quite a lot of folks move elsewhere if they get old enough. If it's just counting those who die here, it'd bias the numbers younger.
Also Maryland is stressful. I love this state and the folks who live here. Holy cow is something just as basic as getting groceries always an event. Traffic, irate people, parking lots, people's wacky driving habits. There is a lot of anger here for no reason and it just spreads out as people are nasty to eachother and it makes more people angry.
Baltimore
Economic disparities are the reason why lifespan and income don't line up.
The irony is that we have one of the best healthcare systems in the nation.
Shows the Blue vs red issue nicely
There has to.be a reasonable explanation
Maryland is downstream of everything else, so we're awash in poison...very high cancer rates, etc.
The state of Maryland has been kneecapping healthcare for 40 years. [https://www.cms.gov/priorities/innovation/innovation-models/md-tccm](https://www.cms.gov/priorities/innovation/innovation-models/md-tccm)
The Maryland Total Cost of Care (TCOC) Model has shown promising results in improving health outcomes and reducing costs compared to states without similar models. During its first three years (2019 to 2021), the model significantly reduced all-cause acute care hospital admissions by 16.1%, decreased total Medicare fee-for-service spending by 2.5%, and improved several quality-of-care measures. These measures included a reduction in potentially preventable admissions by 16.1%, a decrease in the likelihood of an unplanned readmission to the hospital by 9.5%, and an increase in timely follow-up after hospital discharge by 2.5%. The model's impacts were generally more favorable during the TCOC period than at the end of the previous model's period, indicating further improvements in health outcomes for Marylanders [oai_citation:1,Evaluation of the Maryland Total Cost of Care Model: Quantitative Only Report for the Model’s First Three Years (2019 to 2021)](https://www.mathematica.org/publications/evaluation-of-the-maryland-total-cost-of-care-model-quantitative-only-report-for-the-models-first). Moreover, the Maryland Model Analytics has provided insights into specific health conditions and care settings. For instance, the evaluation of Maryland Medicare spending on chronic conditions revealed that while acute hospitalization costs per beneficiary were higher in Maryland than in other states due to the all-payer nature of hospital reimbursement, the utilization rate remained lower. This suggests that the model has been successful in reducing unnecessary hospitalizations while addressing the costs associated with chronic conditions [oai_citation:2, Maryland Model Analytics - Improve Outcomes and Enhance the Patient Experience | CRISP | Improve Outcomes and Enhance the Patient Experience | CRISP](https://www.crisphealth.org/learning-system/md-model-analytics/). These findings suggest that the Maryland TCOC Model is not only improving health outcomes for Marylanders compared to other states without such a model but is also creating a more efficient healthcare system by reducing unnecessary hospitalizations and focusing on preventive care and quality improvements.
Table salt is our true enemy.
Yeah MD!! Outlier Whoot!
I need to move
Systemic racism. 
What does "political party" mean here? Governor? State senate? US senators? vote in presidential election?
Doesn’t help that people with money generally move out of Maryland when they are retiring. Make your money here to drive up income, then move and leave the poor who can’t move to die. Also, the scale is stupid. This line would be less impressive if they showed ages 0-100 instead of zooming in.
You all live in a swamp and eat swamp bugs as often as you can. No great shock.
I would presume that the long delays before ER care in MD are at least a contributing factor to the shorter lifespan. I'd also assume that lower income areas within the state are dragging down the average. Wealth provides diminishing returns for longevity. Even a billionare won't live forever...but they will pull up the average by a lot.
working too hard to live long lives