UTopiAH. This is Part of a series for comparing census based life expectancy and death rate tables, ranking states by how long we live, from 1960 to 2015. Included are medical conditions rating Utah’s #1 health rankings. Since 2012 state rankings are now correlated to voting in the 2012 and 2016 presidential elections, with blue states on top, and red states at the bottom. Utopia is Sir Thomas More’s (1516) perfect place to live, and with a slight variation in spelling, perfectly describes Utah.

Part Thirteen. How does Diabetes impact UTopiAH’s #1 state rankings of life expectancy?

As noted in Part One, the United Health Foundation America’s Health ranked Utah #1 as the having the fewest or lowest rate for 2012 Diabetes.

Luke 8:48 Daughter, be of good comfort: thy faith hath made thee whole;

For six decades, 1940-2000, life expectancy, was based on the census taken every ten years. States were rank ordered based on the longevity of their residents’ lives. Longevity have been the basis for commercial uses, health programs, governmental budgets, and forward planning. Commercial uses include 1) annuity tables for retirement investments, how long the annuity will be needed to provide a life time income, and hence its cost; 2) life insurance tables for payment of death benefits and when they will be due, and hence the premium; 3)   long term care, and others. Health programs use include age related maladies and hospitalization. 4) Governmental budgets include Medicare, Medicaid, Obamacare, development, public health, education, transportation, and national security. 5) Forward planning includes water resources, urban planning, social services, and family growth,.   Progress or decline in life expectancy, takes decades.   For instance noting that Utah’s life expectancy ranked 6^th in 1960, Utah climbed to 2^nd in 1970, back to 3^rd in 1980, and topped out to 1^st by 1990. It is even harder to move among ranks the larger the population in the State. California’s population is ten times Utah’s. California’s life expectancy ranked 19^th in 1960 census, climbed to 14^th in 1970, 18^th in 1980, and dropped back to 32^nd in 1990.

How can it be that UTopiAH’s lowest diabetes ranking in 2012 results in the 42^nd highest death rate for diabetes in 2016?

National Vital statistics Systems. Vital statistics provide insight into important trends in health, including the impact of chronic conditions, progress on reducing deaths due to motor vehicle accidents, and the evolving challenge of substance abuse. The vital statistics system is a key part of the public health infrastructure, providing the best and most complete information on populations and health outcomes. Investments in the vital statistics infrastructure can improve health, reduce costs, strengthen national security, and increase resilience to outbreaks, disasters and other crises. Vital statistics data guide investments to improve health and help measure the success of those investments.

https://www.cdc.gov/nchs/nvss/modernization/index.htm

The sifting of statistics changed in 2012. The change was explained by Center of Disease Control’s NCHS [National Center for Health Statistics ] as of 2012 ‘’Beginning with the 1999 data year, NCHS [National Center for Health Statistics ] adopted a new population standard for use in age adjusting death rates. Based on the projected year 2000 population of the United States, the new standard replaced the 1940 standard population that had been used for more than 50 years. The new population standard affects levels of mortality and, to some extent, trends and group comparisons. Of particular note are the effects on race mortality comparisons.’’ National Vital Statistics Reports Volume 66, Number 6.  

What was the effect of Age-Adjusted population Longevity ranking? The age-adjusted population death rates began by 2012, in the NCHS, for quantifying 2000 census data.   Within 5 years, another estimated census for 2015 was age adjusted in 2018. Age Adjusted Life expectancy rankings also just happen to very strongly correlate to states’ Presidential election voting, with Blue states filling all 10 slots in the top quintile, and Red states filling all slots in the bottom quintile. Census was ignored.

Red state Utah’s life expectancy was previously ranked 1^st (best, and longest life expectancy) in the census of 1990 (as reported in 2004), and well within the top quintile for the previous decades’ census. But with the new age adjusted population computation, Utah’s age adjusted life expectancy rank dropped to an age adjusted rank of 10^th for census of 2000 (as determined in 2012), and an age adjusted rank of 13^th for 2015 (as determined in 2018).

Diabetes Mortality by State 2016

https://www.cdc.gov/nchs/pressroom/sosmap/diabetes_mortality/diabetes.htm

Age-Adjusted Death Rates¹ 2016

United States 21.0

14.9 – 17.9,17.9 – 20.1,  20.1 – 21.5,21.7 – 24,  24.6 – 34.8

Data Table

Diabetes Mortality by State: 2005

Age-Adjusted Death Rates¹

United States 24.9

15.1 – 22.3, 22.4 – 23.6, 23.8 – 26.2, 26.2 – 27.8

29.2 – 38.7

Data Table

The number of deaths per 100,000 total population.

Source: http://www.cdc.gov/nchs/data/nvsr/nvsr56/nvsr56_10.pdf

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