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Richest Americans Have Lower Life Expectancy Than Europeans

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In a city like Madrid, men live, on average, three years longer in the Chamartín neighborhood, with greater purchasing power, than in Puente de Vallecas, a working-class area. The trend is similar worldwide, because economic capacity correlates with health and life expectancy. However, according to a recent publication in The New England Journal of Medicine, this dynamic changes when comparing the rich and poor in the U.S. and Europe.

The study, led by Irene Papanicolas, a professor of health services at the Brown School of Public Health, sampled 73,000 Americans and Europeans aged between 50 and 85. They were followed since 2010 to observe the effect of wealth on an individual’s likelihood of dying. First, it was found that, in both the U.S. and Europe, the rich lived longer than the poor, although the gap was much greater in the United States.

This finding was consistent with previous studies showing that the wealthy live longer, but when the comparison was made across continents, the result was even more surprising. Mortality rates across all wealth levels in the U.S. were higher than in the European regions included in the study. The wealthiest Americans had a lower life expectancy than the wealthiest Europeans, and did not exceed that of the poorest in some European countries such as Germany, France, and the Netherlands.

In a statement from her institution, Sara Machado, a researcher at Brown University and co-author of the study, argues that her findings are a humbling experience for the United States and a call to action for policymakers who can improve national health. “If you look at other countries, they have better results, and that means we can learn from them and improve,” she says. “It’s not about spending more; it’s about addressing the factors we’re overlooking that could give us greater benefits than we think.”

According to the study, the richest 25% of individuals had a 40% lower mortality rate than those in the poorest quartile. Furthermore, European participants died at approximately 40% lower rates than those in the United States throughout the study period. In Southern Europe, estimated mortality rates were 30% lower than those of American participants, while in Eastern Europe, mortality rates were between 13% and 20% lower compared to the U.S.

It seems that there are very wealthy people who do not have access to a healthcare system as comprehensive as Europe’s”

Miguel Ángel Martínez Beneito, lead author of the National Mortality Atlas in Spain

These data provide further insight into why, in recent years, life expectancy in the world’s most powerful country, where the planet’s greatest scientific and medical breakthroughs emerge, has been declining.

Papanicolas acknowledges that “there are many differences we observed between the United States and Europe, but it’s not clear how they explain the health advantages of Europeans over Americans.” The study found that many of the determinants associated with longer survival, such as having a college education, not smoking, or being married, are more concentrated among the wealthiest 25% of Americans, which would explain the large gap in life expectancy between rich and poor in that country. In Europe, factors such as education and smoking are more evenly distributed.

“Wealth can influence health by affecting access to education, job opportunities, healthcare, and social networks, all important predictors of health,” the researcher notes. “Possibly, the more generous social safety net in Europe also exerts a protective effect on the survival of those with fewer resources, and wealth status matters less overall,” she adds. “This finding tells us that, although wealth is linked to health everywhere, in Europe, especially in the north and west, less wealth is needed to achieve better life expectancy than in the United States.”

For the researchers, their results serve as a reminder that even the wealthiest Americans are not protected from the country’s structural problems, which are influencing worsening health and reducing life expectancy, such as economic inequality, stress, poor nutrition, and environmental risks. “If we want to improve health in the U.S., we need to better understand the underlying factors that contribute to these disparities, especially among similar socioeconomic groups, and why they translate into different health outcomes across countries,” Papanicolas says.

Miguel Ángel Martínez Beneito, lead author of the National Mortality Atlas in Spain, highlights that the most striking aspect of the work published Wednesday in The New England Journal of Medicine is the transversality of mortality in the U.S. across all economic groups. “This means that this excess mortality goes beyond economic issues, because it seems that there are very wealthy people who do not have access to a healthcare system as comprehensive as Europe’s, or who are exposed to higher cumulative risk factors than Europeans,” he points out. “Now we must open lines of research to determine what factors explain the data, and how to improve access to a healthier life for all of American society.”

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The Economy Puts The Brakes On Trump

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Donald Trump has always liked to use the stock market as a barometer of his success. The signals the market has emitted since his return to the White House have been discouraging the U.S. president’s administration, especially in terms of the trade war. It’s not just the stock market: the bond market and the dollar’s price have reflected the growing distrust in U.S. assets that Trump has generated. Along with the courts, the economy is taking charge of reining in some of the president’s decisions. Pressure from businesses and investors has led Trump to soften tariffs and appear more conciliatory toward China. Furthermore, a new market scare has led him to say he has no intention of firing Federal Reserve chair Jerome Powell, just days after calling for his dismissal.

“I used to think that if there was reincarnation, I wanted to come back as the president or the pope or as a .400 baseball hitter. But now I would like to come back as the bond market. You can intimidate everybody.” This quote is from James Carville, Bill Clinton’s advisor, who saw how market pressure forced him to change his economic policy. The concept of “bond vigilantes” actually predates it. It was coined by economist Ed Yardeni, referring to investors who sell Treasury bonds, driving up the required yield, when they lose confidence in a country’s economic and fiscal policy. The bond vigilantes forced Clinton to back down, forced Liz Truss to resign as UK prime minister, and, via risk premiums, in Spain forced José Luis Rodríguez Zapatero to implement harsh cuts, and Mariano Rajoy to request a financial bailout from the European institutions.

Trump isn’t easily intimidated, but the rise in U.S. bond yields, along with the stock market crash and the depreciation of the dollar, were the triggers for his declaration of a 90-day partial truce in the trade war on April 9. The Republican admitted that investors were “getting a little yippy.” “I thought that people were jumping a little bit out of line. They’re getting a little bit… afraid,” he said, celebrating how “beautiful” the market looked after the truce.

The situation has been repeated in the last week. Just days after suggesting he was considering removing the Federal Reserve chair, he asserted Tuesday that he has no intention of doing so. “The press is jumping the gun on things. No, I have no intention of firing him,” Trump said. Meanwhile, threats to the central bank’s independence have heightened distrust in U.S. assets and driven the dollar to a three-year low, with further declines on Wall Street and in the bond markets.

Donald Trump answers questions from reporters after signing executive orders in the Oval Office on April 23.

Moderate the trade war

The market punishment and the rapidly deteriorating economic outlook have also forced Trump and his team to soften the tone in the trade war with China. The current tariffs, at 145% on Chinese imports (and 125% on Chinese purchases of U.S. goods), “are not sustainable,” Treasury Secretary Scott Bessent said Tuesday at a closed-door event with bankers. Trump himself later endorsed the idea in the Oval Office. He said the steep tariffs “will come down substantially, but they won’t be zero. It won’t be anywhere near that high,” he insisted.

The Wall Street Journal reported Wednesday that the White House is considering a substantial reduction in tariffs on China, to levels of approximately 50% to 65%, in a combination that could include tariffs of 35% on goods the U.S. doesn’t consider strategic and 100% on those for which there is interest in special protection. This would be a way to begin the de-escalation process, but the president hasn’t made a decision.

On Wednesday, without abandoning his protectionist rhetoric, Trump once again extended his hand: “We’re going to have a fair deal with China,” he affirmed. Bessent, speaking to the press after a speech at a Washington hotel, offered a mixed bag. Asked if there was a unilateral offer from the president to de-escalate the trade war, he said “absolutely not.” At the same time, he left the door open to a reduction by both sides: “I don’t think either side believes the current tariff levels are sustainable, so I wouldn’t be surprised if they were lowered mutually,” he stated, asserting that there is “an opportunity for a great deal.”

In his first term, Trump was the first president in nearly a century to destroy jobs. He could have blamed the pandemic, but the crisis he now threatens to unleash is entirely self-inflicted. Fears of a financial crisis leading to a deep recession have spread within the White House in recent weeks, a scenario they internally call “1929,” according to The New York Times, in reference to the stock market crash that year that sparked the Great Depression.

It’s not just the markets. Automakers succeeded in getting Trump to ease tariffs on cars and components from Mexico and Canada after warning of the risk of exorbitant prices. The idea of iPhones costing over $2,000 and pressure from Apple preceded the tariff exemptions on cell phones, tablets, and computers. This week, executives from large retailers such as Walmart, Target, and Home Depot, major importers of Chinese products, visited the White House, warning of the risk of price hikes and empty shelves. Trade policy thus becomes an influence peddling from which small and medium-sized businesses are excluded. It’s the large ones, those that helped Trump raise $239 million for his inauguration festivities, that have access to the president.

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Scientists Achieve Quantum Communication Across 155 Miles Of Conventional Fiber Optics

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The future of quantum technology doesn’t depend on every home, business, or organization owning a superpowered computer. Its true potential lies in the internet — in a network of connections that enables even lower-capacity machines to tap into the advantages of quantum computing, whether from research centers or corporations, ultimately benefiting end users.

But building such a network requires the ability to transmit quantum information between machines over long distances without relying on costly infrastructure. A study published in Nature on Wednesday marks a major step in that direction, demonstrating the coherent transmission of quantum data across 155 miles (250 kilometers) of standard fiber-optic cable in Germany — without the need for cryogenic cooling.

Mirko Pittaluga, lead author of the research and a scientist at Toshiba, calls the breakthrough a “record” — not just for the distance covered, but for the infrastructure used, and the coherence achieved in communication. “It is fundamental to the phase-based architecture of the quantum internet,” the researchers state in the paper.

Antia Lamas, director of the Quantum Networks Center at Amazon Web Services (AWS), who was not involved in the study, says this next-generation internet will be effective “when all the capabilities of the quantum network are available.” According to Lamas, its implications will be critical, “first in the area of security and, later, for connecting quantum computers and expanding their potential.” “These networks will allow us to implement amazing capabilities,” she told EL PAÍS.

The recent achievement goes beyond the 155-mile communication distance between Frankfurt and Kehl in Germany. The same research group previously demonstrated quantum data transmission over more than 372 miles (600 kilometers) of cable. What sets this study apart is the maintenance of quantum coherence using a conventional underground fiber-optic network under everyday environmental conditions.

This is significant because quantum communications have historically depended on specialized equipment — such as cryogenic systems — to reach the near-absolute-zero temperatures that particles need to preserve their properties.

Qubits, the basic unit of quantum information which are exponentially more powerful than conventional bits, are extremely fragile and prone to errors due to their interactions with the environment. The expansion and contraction of optical fibers caused by changes in environmental conditions — such as temperature fluctuations — introduce errors and cause them to lose coherence.

But the research published in Nature, in line with the previous work of the same team, has succeeded in overcoming this important limitation for the future quantum internet. “Our research aligns the requirements of coherence-based quantum communication with the capabilities of existing telecommunication infrastructure,” the researchers argue.

“With the new techniques we have developed, further communication distance extensions for QKD [Quantum Key Distribution] are still possible, and our solutions can also be applied to other quantum communication protocols and applications,” Pittaluga said after the 372-mile record.

Before this experiment, the researchers simulated conditions in the laboratory, but within a controlled temperature environment. However, these previous tests showed more fluctuations. Under real-world communication conditions, the team managed to preserve the system.

“In phase-based quantum communication systems, maintaining coherence among quantum states encoded by different users is crucial for system performance and error minimization,” explains the Nature study.

Carlos Sabín, a researcher in the Department of Theoretical Physics at the Autonomous University of Madrid (UAM), who was not involved in the study, welcomed the new study. “The most innovative aspect of these new results is that they use already-existing commercial optical fiber and do not add more sophisticated technology typically found in quantum physics laboratories, such as cavities or cryogenic refrigerators,” he told Science Media Center Spain.

“The quantum bits used are photons generated with lasers, in contrast, for example, to other previous experiments, such as the one published last year in Nature, in which quantum entanglement was generated in Boston between experimentally more complex systems, including the use of cavities. These systems might be more suitable for building quantum memories, but using optical photons, on the other hand, allows for quantum communication over very long distances.”

The physicist recalls another recent study, published in Optica, which tested quantum teleportation with photons over conventional, in-use optical fibers, although at a much shorter distance of about 18.6 miles (30 kilometers) and with error rates of 10%.

“These new results,” Sabín added, referring to Wednesday’s publication, “with small error rates of around 5%, represent a step forward in the possibility of creating quantum physics-based communication networks integrated with existing optical fiber technology in our cities. Although it should be noted that we are still at a very preliminary stage of development.”

Pittaluga’s team believes they have reached a fundamental milestone for the quantum internet: “Our work demonstrates the compatibility of coherence-based quantum communications with existing network infrastructure and the practical implementation of an effective quantum repeater over commercial networks. We also achieved, to our knowledge, the longest distances for real-world QKD using non-cryogenically cooled technology.”

“Our findings confirm that environmental conditions in operational telecommunications hubs are comparable to or even better than those simulated in laboratories, encouraging further commercialization and prototyping of coherent quantum communication equipment. This achievement lays the groundwork for future practical, high-performance quantum communications and networks,” he continued.

This high performance is another challenge in quantum communication. Traditional methods, such as quantum key distribution (QKD), with which Pittaluga’s team has worked, and others, like chaotic encryption, often sacrifice speed or transmission capacity for the sake of security.

However, in a study by researchers at Shanghai Jiao Tong University, they presented an integrated encryption and communication (IEAC) framework that combines robust security with high-capacity transmission performance, based on end-to-end deep learning (E2EDL), to achieve a record-breaking secure transmission of 1 TB per second over 745 miles (1,200 kilometers) of optical fiber, a milestone in communications over this secure, high-capacity, long-distance infrastructure.

“Our work bridges the gap between security and transmission performance in optical communications. By incorporating encryption at the physical layer, IEAC paves the way for secure, high-performance networks capable of supporting the data demands driven by AI,” says Lilin Yi, co-author of the study and a professor at Shanghai University.

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Jacqueline Stevens, Deportation Law Expert: ‘What Trump Is Saying Is Not New; The Government Has Been Deporting US Citizens For Decades’

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It all began in 2007. Jacqueline Stevens (1962) read about Pedro Guzmán, a mentally ill 31-year-old man who was jailed for a misdemeanor in Los Angeles, California, where he was born, when he was removed from the country as an illegal immigrant. Guzmán was deported to Mexico and spent three months adrift, sleeping on the streets and eating out of the garbage, while his family desperately searched for him. Learning of his story made the researcher and professor of political science at Northwestern University (Illinois) set out to study something that until then no one had analyzed in depth: how many U.S. citizens are deported by their own country’s immigration authorities, a phenomenon the federal government does not track on its own.

“It occurred to me that if this was happening to one person, it was probably happening to many others as well. That whatever the protocols were that led to Mr. Guzmán being deported were leading to other people who were citizens being deported as well,” Stevens tells EL PAÍS by telephone from Chicago.

She examined years of immigration court records, reviewed thousands of cases and government documents, and interviewed immigration judges, attorneys and deported citizens. And she found that at any given time, about 1% of those detained by immigration authorities and 0.5% of those deported are actually U.S. citizens. Although this is a small share of the total number of deportations that take place, the consequences can be traumatic, as they were for Guzmán.

Stevens’ work has become even more important now that Donald Trump’s administration is entertaining the idea of deporting U.S. citizens convicted of crimes. The president has said he is considering sending them to prisons in El Salvador, where he already transferred more than 200 immigrants without due process after accusing them of belonging to Latin American gangs. “The home-growns are next,” the Republican told Salvadoran President Nayib Bukele during his official visit to the White House last week.

His statement set off alarm bells of all kinds, but for Stevens, who founded the Deportation Research Clinic at Northwestern, it was nothing new.

Question. How alarming are the president’s latest comments about holding U.S. citizens in prisons in El Salvador?

Answer. I don’t see how this is even plausible. Leaving aside the constitutional issues, if you’re going to put somebody in federal custody as punishment, the facility has to conform with all sorts of regulations from the Federal Bureau of Prisons. To the extent that they’re able to implement any of those regulations outside the United States, it would be extremely expensive and really undermine the whole theater Trump has in mind, because those facilities would actually have to conform with the standards already in place in the U.S. And once that happens, it kind of takes the fun out of it for the president.

Q. And his argument is that it will actually be cheaper to do it in El Salvador.

A. Exactly, and it won’t be. There’s no loophole that says that you can have people in custody for federal crimes and not have the Bureau of Prison Regulations apply if you incarcerate them in El Salvador.

Q. But his administration is continuing to insist on it.

A. This is actually not new to Trump, but he’s trying to associate criminality with otherness and alienness, and therefore, taint the people who are in these kinds of proceedings and make the public think that it doesn’t matter if we put them in a different country. But to the extent that we are considering punishing people for stealing a car by sending them to El Salvador if they are citizens, we should also take a second look at our impulse to do that if they’re non-citizens as well.

Q. How do deportations of U.S. citizens take place? Since there should be legal protections to stop them from happening.

A. The problem is that there aren’t protections to stop this from happening. The premise of deportation proceedings is that the person that you have in custody is a non-citizen and therefore, the Constitution is able to provide very few protections to them. The issue with that is that when you make that assumption, you’re going to end up deporting the wrong people, including U.S. citizens. I want to be really clear about this: the reason I do this research is not because I care more about U.S. citizens than anybody else, but in fact to highlight exactly this problem. Because if you go into an immigration court as a U.S. citizen and still get deported, that tells us an awful lot about the low level of legal protections there for everybody else.

Q. This is going to sound really obvious, but can you explain why it’s illegal to deport U.S. citizens?

A. Immigration and deportation laws are only for non-citizens, they legally cannot apply to someone who is a U.S. citizen. It’s like asking, can you please explain why it’s illegal to find somebody who is innocent guilty? By definition, it’s impossible, and yet it happens.

Q. You started researching this because there wasn’t anyone else tracking this issue, least of all the government. Why do you think there’s so much secrecy around it?

A. There’s still no solid data on this in terms of the magnitude of how this is happening across the country. At some point, I thought I had a workaround to that. I thought that I would do a FOIA request for all the data indicating country of origin in cases in immigration court. Because I knew that some of these people were born in the United States, and in an immigration court proceeding, it should indicate that they were claiming that their country of origin was the United States. However, what I learned is that the Department of Justice Executive Office of Immigration Review, which is the agency that oversees the immigration courts, relies exclusively on the data of ICE [Immigration and Customs Enforcement] for that field. And ICE is never going to go into court and say, “Hey, here’s someone from the United States, judge, please deport them.” So their data indicated, in some cases, inaccurately, that the person was born outside the United States. That is pretty clear evidence that the federal government for decades has recognized that people in their custody were U.S. citizens.

Q. But they’re not going to publicly acknowledge it because then they would have to admit that they are doing something that is illegal.

A. And they don’t want to acknowledge that because they cannot run this system consistent with the U.S. Constitution and also admit that they’re deporting U.S. citizens. That’s actually been a huge problem in recent years. The more the research that I’ve done has gained traction in the media, the harder ICE is trying to push back in these cases of people claiming U.S. citizenship. In the past, they would pretty quickly acknowledge they made an error and release the person and terminate the deportation proceeding. But now they go to ridiculous extents to try to make those assertions.

Q. And that’s only going to get worse now under the Trump administration.

A. Exactly.

Q. In your research, have you noted any differences between people who were born in the U.S. and naturalized citizens when it comes to them being deported?

A. Ironically, it’s actually easier for people who are naturalized citizens to prove their citizenship than it is for people born in the United States or who have automatically acquired citizenship at birth. The reason for that is that if you’re naturalized, you have all the paperwork from Homeland Security that shows the process of your naturalization. If you’re born in the United States, it’s not that easy. Recently there was a case about a guy who was born in California. When he tried to return to the country with his birth certificate and so forth, the border patrol said, “oh, you must have gotten that fraudulently.”

Q. So even a U.S. birth certificate isn’t considered sufficient documentation anymore?

A. Even when you have the fingerprints and can prove that you’re the person who’s associated with the birth certificate, they still may not recognize that.

Q. Has anything struck you particularly in your research?

A. In a lot of these cases of U.S. citizens who are deported, ICE will spend a huge amount of time emphasizing their criminal record. And you can see that in the Guzmán case, where they talk about how this person was a gang member and so forth. As though to point that out is to justify deporting a U.S. citizen.

Q. It’s similar to what they’re now doing to Kilmar Abrego García in trying to justify his deportation even after admitting it was carried out in an administrative error. It’s all part of the same modus operandi.

A. And in that sense what Trump is saying is not new and in fact resonates with how ICE has been operating for quite some time.

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