18 Comments

What could they possibly do to make their lives shorter? Hire doctors who believed in bloodletting to treat their illnesses.

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I'm perfectly willing to believe the result of the studies of ducal families, because Pierre Charles Alexandre Louis, in his statistical analysis of tuberculosis and typhoid patients in 1835, had already discovered the rich who got those diseases were more likely to die than the poor who got those diseases.

Why? People who got sick and who could afford doctors got treated with bloodletting. People who got sick and who could not afford doctors did not. The former, weakened by the blood loss, were more likely to die than the latter.

So, sure, the rich had better food, shelter, etc., that translated into longer potential lifespans. But they could also hire doctors when they got ill, which helped kill them earlier than they would have died.

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Er - isn't it just about male young adults of aristocratic families, dying at war?

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Titles of nobility were at bottom military titles. When did this end? Roughly in the middle of the 18th century. George II of England, for example, was the last British monarch to lead an army into battle in 1743.

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Greg Clark wrote in "A Farewell to Alms" about that dynamic reducing the numbers of the aristocracy, letting upper-middle class farmers populate the country.

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You still do see those kinds of intrigues in countries ruled by dictatorships...

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I would be very sceptical of data records from the 16th to 19th century, especially about infant mortality. Also, Deaton uses two different data source for this claim, so there is no way of ensuring comparablity. There are also other factors to consider such as inbreeding of wealthy or royal families.

In all, a very loose evidence base to make such claims, given the intution and arguments to the contrary. How could the wealthy NOT live longer? What could they possibly do to make their lives shorter? The answers to these questions would provide much better insights (eg. were royals obliged to lead armies in battle at a young age? Were assissination attempts common?)

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When I think of Deaton the first thing that comes to mind is his hardcore quant work in microeconomics, not his historical research.

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I would just note that Louis XV was Louis XIV's great great grandson, the intervening generations being wiped out by disease. Hard to prevent something when you don't have a theory how it operates.

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When dealing with older life expectancy metrics, I also wonder about the impact of infant and small child death. Given the medical state of art c. 1700, I'm not sure being high-status would confer a substantial advantage in mitigating the effect of those on life expectancy. I'd be more curious to see if life expectancy at age 5 or 10 was the same across classes.

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Certainly at the very top level of kings and emperors and their immediate family you see some big lifespan disadvantages to being at the top. History is replete with monarchs and their kin dying in wars, coups, and revolutions, plus a lot of mysterious deaths suspected due to poisoning. In the most extreme example of kings whose successors came from their harems, it wasn't unheard of for the victor to exterminate his half-brothers and sometimes even brothers to improve his grasp on the throne.

At the next level down, I don't recall as much succession intrigue, but nobles often fell to the suspicions - sometimes well-founded - of their monarchs, plus were still subject to replacement in war and revolution. Such violence today is much more difficult and frequently wouldn't work anyway, so the wealthy have been freed of that disadvantage. I agree with the other posters that you need some cause-of-death analysis to take this further.

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With 'injustice' right in the title, I would expect this paper is more about signalling rejection for injustice than about getting the right answer.

There's probably a way to reconcile the two theories. The concept 'life expectancy' is usually much abused, and if that's the case here...

For example, perhaps the rich in fact died way less due to disease, but died more due to in-fighting over power, and these happened to about balance out.

"the best guess is that, perhaps starting as early as the 16th century, but accumulating over time, there was a series of practical improvements and innovations in health, including inoculation against smallpox"

My best guess is that society is way more complicated than this. This is a factor among, say, fifty factors, all of which feed back with each other. You can't just blithely guess that one of them is key and then base an entire paper on it. Not and reliably get the right answer, anyway.

For example, being low-status causes stress. Stress harms the immune system. Ergo, being high-status is directly good for your health. Though losing high office is worse than simply not having it. Apes sometimes let themselves starve to death after losing the top spot.

The fact I can immediately come up with something that Deaton didn't take into account suggests A: it probably really is a signalling paper and B: there's lots of other relevant factors I could think of, given time.

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rapscallion, the health status relation is today extremely robust. And I think I recall that it often applies to other animals.

burger, you misreport my smoking beliefs.

Blake, there are economic historians.

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What the other commenters said, plus the post title is odd.

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Slightly odd that you call a former president of the American Economics Association a historian...

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