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Comment & Response
November 2017

Considerations for County-Level Inequalities in Life Expectancy

Author Affiliations
  • 1Division of Chronic Diseases, Institute of Social and Preventive Medicine, Lausanne University Hospital, Lausanne, Switzerland
JAMA Intern Med. 2017;177(11):1697-1698. doi:10.1001/jamainternmed.2017.5830

To the Editor In an Original Investigation published in a recent issue of JAMA Internal Medicine, Dwyer-Lindgren and colleagues1 showed the existence and growth of alarmingly large inequalities in life expectancy across counties in the United States—up to a disturbing 20-year gap between the highest and lowest life expectancies between counties. I agree with the authors that these findings demand action because inequalities will continue to grow unabatedly in the face of inaction.