Were the increases in life expectancy in the US mainly due to public health advances or improvements in medical care?

Figure 1: U.S. Mortality and Life Expectancy, 1900-2013

Death rate is age-adjusted to the 2000 Census population age distribution.

Source: Centers for Disease Control/National Center for Health Statistics.

Figure 2: Mortality from Major Cardiovascular Diseases (Rate per 100,000 Population)

Death rate is age-adjusted to the 2000 Census population age distribution.

Source: Centers for Disease Control/National Center for Health Statistics.

Figure 3: Age Distribution of the Decline in Mortality (Percent of Total Change)

Death rates are age-adjusted to the Census population age distribution in the first year of each period.

Source: Centers for Disease Control/National Center for Health Statistics.

Figure 4: Life Expectancy at Age 25 by Sex, Race, and Years of Completed Education, 2008

"White" and "Black" refer to the non-Hispanic population.

Source: S. Jay Olshansky, Toni Antonucci, Lisa Berkman, et al., “Differences In Life Expectancy Due To Race And Educational Differences Are Widening, And Many May Not Catch Up,” Health Affairs, 31:8, pp. 1803–13.

Table 1. Projections of Mortality Decline and Life Expectancy at Birth15


Average annual rate of mortality declineLife expectancy at birth
20602090
2015 Social Security Trustees Report 0.8 83.7 85.9
2015 Technical Panel on Assumptions and Methods 1.0 - 88.3
2011 Technical Panel on Assumptions and Methods* 1.3 85.8 88.7
Congressional Budget Office (2014) 1.2 85.2 -
Census Bureau (2014) - 85.6 -
Bongaarts (2006), extended - 85.8 -
Lee and Carter (1992) - 85.5 -


Death rates are age-adjusted to the 2010 Census population age distribution.

*Value for life expectancy in 2090 is for 2086.

- = not available.

Year,Age-adjusted death rate,Life expectancy at birth
1900,2518.00,47.3
1901,2473.10,49.1
1902,2301.30,51.5
1903,2379.00,50.5
1904,2502.50,47.6
1905,2423.70,48.7
1906,2399.00,48.7
1907,2494.40,47.6
1908,2298.90,51.1
1909,2249.20,52.1
1910,2317.20,50
1911,2245.40,52.6
1912,2211.70,53.5
1913,2206.50,52.5
1914,2149.30,54.2
1915,2174.80,54.5
1916,2266.60,51.7
1917,2275.90,50.9
1918,2541.60,39.1
1919,2057.20,54.7
1920,2147.10,54.1
1921,1958.20,60.8
1922,2049.50,59.6
1923,2141.40,57.2
1924,2038.00,59.7
1925,2068.70,59
1926,2146.20,56.7
1927,1989.50,60.4
1928,2124.60,56.8
1929,2081.20,57.1
1930,1943.80,59.7
1931,1895.10,61.1
1932,1897.10,62.1
1933,1850.10,63.3
1934,1888.20,61.1
1935,1860.10,61.7
1936,1963.70,58.5
1937,1882.60,60
1938,1764.30,63.5
1939,1766.90,63.7
1940,1785.00,62.9
1941,1694.60,64.8
1942,1635.80,66.2
1943,1702.40,63.3
1944,1618.50,65.2
1945,1575.40,65.9
1946,1529.70,66.7
1947,1532.00,66.8
1948,1501.70,67.2
1949,1457.30,68
1950,1446.00,68.2
1951,1423.50,68.4
1952,1394.60,68.6
1953,1385.60,68.8
1954,1314.80,69.6
1955,1332.30,69.6
1956,1333.70,69.7
1957,1356.70,69.5
1958,1343.40,69.6
1959,1317.30,69.9
1960,1339.20,69.7
1961,1298.80,70.2
1962,1323.60,70.1
1963,1346.30,69.9
1964,1303.80,70.2
1965,1306.50,70.2
1966,1309.00,70.2
1967,1274.00,70.5
1968,1304.50,70.2
1969,1271.80,70.5
1970,1222.60,70.8
1971,1213.10,71.1
1972,1214.80,71.2
1973,1201.20,71.4
1974,1151.80,72
1975,1094.40,72.6
1976,1084.10,72.9
1977,1051.60,73.3
1978,1043.70,73.5
1979,1010.60,73.9
1980,1038.70,73.7
1981,1007.00,74.1
1982,984.90,74.5
1983,990.00,74.6
1984,982.10,74.7
1985,987.80,74.7
1986,978.40,74.7
1987,969.60,74.9
1988,975.10,74.9
1989,949.90,75.1
1990,938.00,75.4
1991,921.90,75.5
1992,905.30,75.8
1993,925.80,75.5
1994,913.20,75.7
1995,909.50,75.8
1996,893.70,76.1
1997,877.70,76.5
1998,870.10,76.7
1999,875.60,76.7
2000,869.00,76.8
2001,858.80,77
2002,855.90,77
2003,843.50,77.6
2004,813.70,77.5
2005,815.00,77.6
2006,791.80,77.8
2007,775.30,78.1
2008,774.90,78.2
2009,749.60,78.5
2010,747.00,78.7
2011,741.30,78.7
2012,732.80,78.8
2013,731.90,78.8
Year,Cerebrovascular disease,Diseases of the heart
1900,244.2,265.4
1901,243.6,272.6
1902,237.8,285.2
1903,244.6,304.5
1904,255.2,331.5
1905,247.3,327.8
1906,245.9,325.5
1907,261.8,356.5
1908,239,328.6
1909,237.5,329.2
1910,238.5,345.1
1911,230.2,341.8
1912,228.7,346.0
1913,226.9,337.9
1914,231.3,346.4
1915,234.5,361.5
1916,235.7,373.3
1917,238.2,377.9
1918,228,366.2
1919,225.6,335.7
1920,238.5,375.0
1921,230.1,366.2
1922,238.9,392.1
1923,245.6,410.3
1924,246.4,410.5
1925,227.9,433.8
1926,228.2,465.7
1927,216.3,448.8
1928,223.4,478.9
1929,213.3,476.2
1930,203.9,467.9
1931,195,459.6
1932,194.4,482.8
1933,185,483.8
1934,184.5,502.9
1935,181.2,506.8
1936,189.8,546.2
1937,176.6,538.8
1938,171.4,528.9
1939,173.2,534.5
1940,177.2,558.5
1941,169.4,537.9
1942,166.8,531.7
1943,173.3,567.5
1944,164.4,541.1
1945,166.7,533.2
1946,158.8,527.7
1947,161.3,552.5
1948,157.4,549.0
1949,176.2,581.0
1950,180.7,588.8
1951,181.4,577.9
1952,180.2,568.8
1953,179.2,570.1
1954,173.4,544.6
1955,177.3,556.7
1956,177.4,560.6
1957,183,568.5
1958,183,563.6
1959,179,552.1
1960,177.9,559.0
1961,173.1,545.3
1962,174,556.9
1963,173.9,563.4
1964,167,543.3
1965,166.4,542.5
1966,165.8,541.2
1967,159.3,524.7
1968,162.5,531.0
1969,155.4,516.8
1970,147.7,492.7
1971,147.6,492.9
1972,147.3,490.2
1973,145.2,482.0
1974,136.8,458.8
1975,123.5,431.2
1976,117.4,426.9
1977,110.4,413.7
1978,103.7,409.9
1979,97.3,401.6
1980,96.4,412.1
1981,89.7,397.0
1982,84.4,389.0
1983,81.4,388.9
1984,78.9,378.8
1985,76.6,375.0
1986,73.3,365.1
1987,71.8,355.9
1988,70.8,352.5
1989,67.1,332.0
1990,65.5,321.8
1991,63.1,313.8
1992,61.6,306.1
1993,62.9,309.9
1994,62.8,299.7
1995,63.3,296.3
1996,62.6,288.3
1997,61.2,280.4
1998,59.4,272.4
1999,61.6,266.5
2000,60.9,257.6
2001,58.4,249.5
2002,57.2,244.6
2003,54.6,236.3
2004,51.2,221.6
2005,48,216.8
2006,44.8,205.5
2007,43.5,196.1
2008,42.1,192.1
2009,39.6,182.8
2010,39.1,179.1
2011,37.9,173.7
2012,36.9,170.5
2013,36.2,169.8
,Infants (< 1),Children (1-14),Young adults (15-44 ),Older adults (45-64),Elderly (65+)
1900-1950,31.7,24.2,26.5,9.5,8.2
1950-1990,13.1,3.7,8,28.7,46.4
1990-2013,3,1.4,9.3,17.8,68.5
Years of Education,White male,White female,Black male,Black female,Hispanic male,Hispanic female
11 years or fewer,43.6,49.2,43.2,49.9,53.5,58.4
12 years,48.2,54,44.3,50.4,52.9,57.7
13 to 15 years,55.3,59.2,52.3,56.1,57.5,61.3
16 years or more,56.7,59.7,53.2,56.6,59,61.3

Why did life expectancy increase in the US?

Over the last 200 years, life expectancy in the US has doubled, now the average life expectancy is 78.8 years. This longevity is due to better health care and hygiene, healthier lifestyles, diet, and improved medical care.

What is the major reason that life expectancy has increased?

Breakthroughs in science, strong economies, and behaviors like eating a healthy diet, exercising, and avoiding tobacco typically raise average life expectancy.

How did medical advances increase the life span of humans?

And their impact on overall life expectancy comes in the form of healthier lifestyles, preventive care, earlier and more accurate medical diagnosis, and increased quality of treatment after diagnosis.

What are some of the factors that contribute to life expectancy in the US?

Behavioral and metabolic risk factors account for 74 percent, and access to health care accounts for 27 percent of the difference in longevity.