Cliodynamica by Peter Turchin

Cliodynamica by Peter Turchin

The Structural-Demographic State of America III

Health and Health Insurance

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Peter Turchin
Nov 15, 2025
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As I wrote in a previous post, a subscriber comment started me on a romp through data on health insurance, whose results eventually snowballed into enough material warranting a separate post. Health insurance is important by itself, because it is one of three big items that define the quality of life for the American middle class. But trends in health insurance also have repercussions for other structural-demographic issues: immiseration, wealth pump, and political violence. But let’s take things in order.

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