WASHINGTON, March 7 – Sen. Bernie Sanders (I-Vt.), Ranking Member of the Senate Committee on Health, Education, Labor, and Pensions (HELP), today released a new report exposing the stark disparities in life expectancy based on income, education, race and geography. The findings show that working class people in America die much younger than the wealthiest people in our country.

The new analysis reveals that people living in the top 1% of counties ranked by median household income live seven years longer, on average, than Americans living in the bottom 50% of counties.

“The massive income and wealth inequality that exists in America today is not just an economic issue, it is literally a matter of life and death,” said Sanders. “In America today, the bottom 50% of our population can expect to live seven years shorter lives than the top 1%. Even worse, Americans who live in working-class, rural counties can expect to die 10 years younger than people who live in wealthier neighborhoods across the country. The enormous stress of living paycheck to paycheck not only causes far too many Americans to die much quicker than they should, but also leads to higher levels of anxiety, depression, cardiovascular disease and poor health. This is an issue that Congress must address.”

Here are the key findings from the report:

• Wealthy Americans live longer than the working class. People living in the top 1% of counties ranked by median household income live an average of 84.3 years, while people living in the bottom 50% of counties ranked by median household income live an average of 77.4 years – a difference of 7 years.
• Rural counties face the greatest disparities. Urban and suburban counties with a median household income of $100,000 have an average life expectancy of 81.6 years, while small rural counties with a median household income of $30,000 have an average life expectancy of 71.7 years – a 10-year gap.
• Geographic disparities persist. In Loudoun County, Virginia, the highest-earning county in the U.S., life expectancy is 84 years. Just 350 miles away, in McDowell County, West Virginia, one of the lowest-earning counties in the U.S., the life expectancy is 69 years – a 15-year difference.
• Higher incomes translate to longer lives. Among rural counties, a $10,000 increase in median annual household income is associated with an additional 2.6 years of life expectancy. Among lower- and lower-middle income populations in urban and suburban counties, the same income increase is associated with a 2.1-year gain in life expectancy.

Through a survey shared on social media, Sanders recently asked working people how stress impacts their lives. The response was overwhelming. Americans shared stories that paint a picture of daily hardship: the stress of affording health care, food, and gas; the anxiety of living paycheck to paycheck; and the feeling of hopelessness that comes from constant financial strain.

Here are just two of those responses.

Edwardo from Texas said: “We struggle to get sleep. Our diets fluctuate, and we get sick from spoiled food from the donation pantry. Working long hours I was recently injured and am struggling, unable to pay for care to help heal.”

Caitlan from Colorado said: “Stress isn’t just an inconvenience for me—it’s a direct threat to my heart. Living with a congenital heart defect and multiple mechanical valves means that every surge of anxiety, every sleepless night worrying about bills, isn’t just mentally exhausting—it physically wears on my heart. Stress triggers palpitations, spikes my blood pressure, and leaves me drained, knowing that too much of it could lead to serious complications. Managing it is a daily battle.”

The report released today also describes policy solutions that would support working Americans and make progress toward closing the life expectancy gap, including:

• Raising the minimum wage to at least $17 an hour to ensure workers can earn a living wage.
• Guaranteeing health care as a human right by enacting Medicare for All.
• Ending the international embarrassment of the United States being the only major country on earth not to guarantee paid family and medical leave.
• Making education from child care to trade school and graduate school available to everyone regardless of their income or ZIP code.
• Expanding Social Security and restoring defined benefit pension plans so that every senior in America can retire with dignity.