Alcohol-Related Deaths: More Than a Big Number

The following excerpt is from an article at Gizmodo: "Alcohol Is Killing More Americans Than Ever."

More and more Americans are drinking themselves to death. A new study this week finds there were around 72,000 alcohol-related deaths among people over the age of 16 in 2017—more than double the number of similar deaths recorded two decades earlier.

When an airplane crashes, killing 200 people, we get upset and we demand to know how airplanes can be made more safe. When the equivalent of 360 airplanes filled with people die of alcohol use each year, we shrug. We shrug even though every one of these alcohol deaths affects many other people, including members of the dead person's immediate family. We shrug even though for each death, there are many living alcoholics out there destroying precious relationships they used to have with their loved ones.

Gizmodo based its article on a study published January 7, 2020.  Here is an excerpt:

The number of alcohol‐related deaths per year among people aged 16+ doubled from 35,914 to 72,558, and the rate increased 50.9% from 16.9 to 25.5 per 100,000. Nearly 1 million alcohol‐related deaths (944,880) were recorded between 1999 and 2017. In 2017, 2.6% of roughly 2.8 million deaths in the United States involved alcohol. Nearly half of alcohol‐related deaths resulted from liver disease (30.7%; 22,245) or overdoses on alcohol alone or with other drugs (17.9%; 12,954). . . . The largest annual increase occurred among Non-Hispanic White females. Rates of acute alcohol‐related deaths increased more for people aged 55 to 64, but rates of chronic alcohol‐related deaths, which accounted for the majority of alcohol‐related deaths, increased more for younger adults aged 25 to 34

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Survivorship Bias

Many of us are somewhat anxious, but there are other people out there who lack the ability to feel any anxiety.  Many of those flagrant risk-takers are not with us any more.  They died because they drove recklessly, explored base jumping and generally lived on the edge.  Many others who are no longer with us ignored long term risks like drinking, eating and smoking to excess.  Many of them struggled with cancer, heart diseases and strokes on their way out.

What we see at any given moment are only the survivors. We are the survivors.  We are not living among a true cross-section of humanity.  It's good to remind ourselves of that, because doing risky things puts us at risk, right?  We are living among those who have hit the lottery, and that includes more than a few of the risk takers who are here because they have been extraordinarily lucky.  Those risk-takers are interesting to us.  We watch them, sometimes with admiration, intrigued that they can do dangerous things and yet survive.  They seem to defy death, disease and immense financial risks.  But, again, we forget that we are not looking at a cross-section. Many people jump in and open new restaurants even though 80% of restaurants fail within four years.  When we decide to go out to eat at a restaurant, we are choosing only among the survivors.  The streets are also populated by hundreds of invisible ghost restaurants too.

We are looking at only the lucky ones, and this can mislead us to think that it is relatively easy to do those sorts of things and yet survive.  We might cheerfully announce that we are going to engage in risky behavior without doing a Bayesian analysis. This is exacerbated by the fact that we don't know enough to know the risks, an over-confidence invited by the Dunning Kruger Effect. 

Farnham Street Blog recently took a look at the Survivor Bias:

Can we achieve anything if we try hard enough? Not necessarily. Survivorship bias leads to an erroneous understanding of cause and effect. People see correlation in mere coincidence. We all love to hear stories of those who beat the odds and became successful, holding them up as proof that the impossible is possible. We ignore failures in pursuit of a coherent narrative about success.

Few would think to write the biography of a business person who goes bankrupt and spends their entire life in debt. Or a musician who tried again and again to get signed and was ignored by record labels. Or of someone who dreams of becoming an actor, moves to LA, and ends up returning a year later, defeated and broke. After all, who wants to hear that? We want the encouragement survivorship bias provides, and the subsequent belief in our own capabilities. . . . Most leaps of faith go wrong. It does not mean we should not try, just that we should be realistic with our understanding of reality.



How could I end this article without mentioning the biggest survivorship bias of them all? The eight billion human animals now populating the surface of the earth are all survivors of long unbroken lines of ancestors. We can look around and see only these those human beings who are actually here, not those whose ancestors failed to survive long enough to pass on the next generation at every generation, extending back to the beginnings of life on earth.  This survival of the fittest, natural selection, is sometimes referred to as "breed and weed," nature's amoral culling of ever-new versions of human beings, separating the survivors from those who do not survive.

I find this to be an immensely terrifying and awe-inspiring thought. If you are lucky enough be able to read this, you are a survivor in one of the most long-shot schemes you could ever imagine.  In order for you to be here, your parents had to meet at the right time, be attracted to each other, have sex at the right time and then someone had to take enough interest in you to raise you.  This had to happen twice for your parents to exist. Eight times for your great-grandparents to exist. These numbers grow exponentially as you you look back even a few hundred years.  This is even more stunning when you consider how quickly this occurred--even a millennium is not a long period of time when you break it into generations.  I illustrated this quick passage of time with a hypothetical visual in a post I titled, "Ancestors along the Highway."

On those days when you might not feel special, then, cheer up!  You are special! You are literally a survivor in a long line of organisms extending back to shew-like mammals who found opportunities with the demise of the dinosaurs.  Your line survived all the way back to the first fish to walk on the land, Tiktaalik.  You are a survivor of the sponges, and beyond.

The odds of you being here are infinitesimally small, essentially nil.   So, again congratulations!  That said, good luck with the rest of your day.  And please remember to treat each of the people you encounter as the miraculous survivors they are.  And remember, also, that each of them is a member of your own family.  

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How many ancestors do you have?

How many ancestors do you have? This article is a delightful excursion into math and biology. I'm always fascinated to hear people over-focused on only that one twig of their family that carries their surname. Too bad we can put a button to see everyone related to us glow, the glow brighter based on how closely they are related to us. Would anyone NOT glow? Maybe such a fantasy device would make us less likely to start wars.

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