"Medical innovation has transformed our lives, but hardly anyone realizes it. You can tell people that global life expectancy has doubled in a century and watch it fail to register – it just sounds like an abstract number, and numbers don’t convey how different life used to be. So let me describe it another way.
If you collapsed with a heart attack in 1950, hardly anyone around you would know how to help. CPR wouldn’t be invented for another decade. If you reached a hospital, a doctor would likely give you morphine, tell you to lie still and hope for the best: the prevailing view was that once the heart stopped pumping, nothing could be done.
That changed in the 1970s. Cardiologists began to understand that with each passing minute, more heart muscle would be starved of oxygen, and once dead, it wouldn’t be able to recover. But doctors could limit that damage by swiftly restoring oxygen supply with a clot-busting drug or a balloon catheter, opening blocked blood vessels and rescuing heart muscle.
In other words, the idea that a heart attack is something you could actively treat is only about fifty years old. Since then, the share of patients who have died within a month of having the most severe type of heart attack has fallen by two thirds.
Zoom out to cardiovascular diseases overall, and the trend is even more dramatic. People in rich countries today have roughly a quarter the chance of dying from cardiovascular diseases as they did in the 1950s at the same ages. Back then, there were no statins, no cholesterol testing, no bans on trans-fats, no anti-smoking campaigns, no bypass surgery, and no implanted pacemakers.
Diabetes, certain cancers, infectious diseases and other conditions have also become far more treatable than they used to be. A century ago, if you were diagnosed with type 1 diabetes, your remaining life expectancy would be a few months, and a ‘starvation diet’ would be one of your few options. Today, you’d simply need to wear a small device on your arm to track your blood sugar level and release insulin to stabilize it in real time. A century ago, it was unheard of for anyone to be cured of cancer, except, in rare cases, by a surgeon’s knife. Penicillin hadn’t been discovered, and a simple wound infection could result in sepsis and death. Smallpox still existed. It swept across the world and killed millions globally, year after year.
I think we underestimate how much medicine has progressed because we rarely experience life without it anymore. But it has added years, sometimes decades, to people’s lives. Maybe surprisingly, it’s also reduced inequality in life expectancy: we’ve seen greater gains at the bottom of the distribution, among those who would have died as children or young adults. At the same time, life expectancy has risen at every age.
The statistics go like this. In 1950, the shortest-lived 1 percent of babies born in France lived less than three months. But for babies born after that, that 1 percent started surviving longer and longer: up to six months for those born in 1960, three years in 1970, 18 years in 1980, and 25 years in 1990. Alternatively, you can think about the cohort you went to school with. If you were born in France in 1900, only two thirds of your cohort would still be alive with you when you reached the age of sixty. But if you were born in 1960, 90 percent of them would.
So here’s another way to think about the rise in life expectancy. It means that far fewer parents lose their children, fewer children lose their siblings, and we grow old with more of our friends and family still alive."
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