wage stagnation and decline, it affected not only the economic measures of well-being but also biological and social ones. I’ll talk more about it in chapter 3, but for now it is sufficient to note that life expectancies of large swaths of the American population started to decline years before the COVID-19 pandemic. “Deaths of despair” from suicide, alcoholism, and drug overdoses spiked among the noncollege-educated from 2000 to 2016, while remaining at the same, much lower level among those with at least a college degree.11 This is what popular immiseration looks like.

