A New York Times Bestseller
A Wall Street Journal Bestseller
A New York Times Notable Book of 2020
A New York Times Book Review Editors' Choice
Shortlisted for the Financial Times and McKinsey Business Book of the Year
A New Statesman Book to Read

From economist Anne Case and Nobel Prize winner Angus Deaton, a groundbreaking account of how the flaws in capitalism are fatal for America's working class

Life expectancy in the United States has recently fallen for three years in a row—a reversal not seen since 1918 or in any other wealthy nation in modern times. In the past two decades, deaths of despair from suicide, drug overdose, and alcoholism have risen dramatically, and now claim hundreds of thousands of American lives each year—and they're still rising. Anne Case and Angus Deaton, known for first sounding the alarm about deaths of despair, explain the overwhelming surge in these deaths and shed light on the social and economic forces that are making life harder for the working class. They demonstrate why, for those who used to prosper in America, capitalism is no longer delivering.

Deaths of Despair and the Future of Capitalism paints a troubling portrait of the American dream in decline. For the white working class, today's America has become a land of broken families and few prospects. As the college educated become healthier and wealthier, adults without a degree are literally dying from pain and despair. In this critically important book, Case and Deaton tie the crisis to the weakening position of labor, the growing power of corporations, and, above all, to a rapacious health-care sector that redistributes working-class wages into the pockets of the wealthy. Capitalism, which over two centuries lifted countless people out of poverty, is now destroying the lives of blue-collar America.

This book charts a way forward, providing solutions that can rein in capitalism’s excesses and make it work for everyone.

A Nobel Prize–winning economist tells the remarkable story of how the world has grown healthier, wealthier, but also more unequal over the past two and half centuries

The world is a better place than it used to be. People are healthier, wealthier, and live longer. Yet the escapes from destitution by so many has left gaping inequalities between people and nations. In The Great Escape, Nobel Prize–winning economist Angus Deaton—one of the foremost experts on economic development and on poverty—tells the remarkable story of how, beginning 250 years ago, some parts of the world experienced sustained progress, opening up gaps and setting the stage for today's disproportionately unequal world. Deaton takes an in-depth look at the historical and ongoing patterns behind the health and wealth of nations, and addresses what needs to be done to help those left behind.

Deaton describes vast innovations and wrenching setbacks: the successes of antibiotics, pest control, vaccinations, and clean water on the one hand, and disastrous famines and the HIV/AIDS epidemic on the other. He examines the United States, a nation that has prospered but is today experiencing slower growth and increasing inequality. He also considers how economic growth in India and China has improved the lives of more than a billion people. Deaton argues that international aid has been ineffective and even harmful. He suggests alternative efforts—including reforming incentives to drug companies and lifting trade restrictions—that will allow the developing world to bring about its own Great Escape.

Demonstrating how changes in health and living standards have transformed our lives, The Great Escape is a powerful guide to addressing the well-being of all nations.

Vencedor do Prêmio Nobel de Economia analisa como populações escaparam da pobreza e por que as desigualdades ainda são tão presentes no cenário global.

Angus Deaton afirma que vivemos melhor hoje do que em qualquer outro período da história. As pessoas são mais saudáveis, mais ricas e a expectativa de vida continua a aumentar. Paradoxalmente, o fato de tantos indivíduos terem conseguido escapar da pobreza também gerou desigualdades; e a disparidade entre países desenvolvidos e em desenvolvimento se estreitou, mas não desapareceu.

Em A grande saída, um dos maiores especialistas em estudos sobre pobreza recua 250 anos para traçar a impressionante história de como diversas regiões do mundo vivenciaram um progresso significativo e, assim, abriram abismos que levaram ao cenário extremamente desigual de hoje. O estudo aprofunda-se nos padrões históricos e atuais por trás das nações ricas e com boas condições de saúde, e aborda o que é preciso fazer para ajudar os países que ficaram para trás.

Deaton descreve as vastas inovações e os retrocessos penosos para o bem-estar. De um lado, há a eficácia dos antibióticos, o controle de epidemias, vacinação e água tratada; do outro, é preciso enfrentar a calamidade da fome e a epidemia da aids. O economista analisa o caso dos Estados Unidos, uma nação bastante próspera por décadas, mas que hoje vivencia um aumento progressivo da desigualdade, e examina como o crescimento econômico da Índia e da China aprimorou a qualidade de vida de mais de um bilhão de pessoas. Para ele, a ajuda internacional tem se mostrado ineficaz e até mesmo prejudicial, e seria preciso investir em esforços alternativos que permitam de fato que os países em desenvolvimento encontrem sua grande saída da pobreza.

A distribuição de riqueza não é equitativa nem proporcional. Está na mão das nações inverter as disparidades, de modo a abrir caminho para que outros também tenham acesso à riqueza e à saúde. Um poderoso guia que visa ao bem-estar de todas as nações, A grande saída demonstra como as mudanças no sistema de saúde e nos padrões materiais são capazes de transformar a vida de bilhões de pessoas.

Né en Écosse, enseignant à Princeton, Angus Deaton s’est vu décerner le Prix Nobel 2015 pour ses travaux basés sur la mesure économétrique fine des comportements individuels dans le domaine de la consommation et de la pauvreté en relation avec le bien-être.
En 380 pages non académiques, cet ouvrage expose sa méthode pour sortir des inégalités : il nous apprend que la volonté politique est primordiale pour avoir raison des inégalités de santé dans le monde, détruisant le mythe d’une relation causale ente croissance du revenu et amélioration de la santé. À l’origine de la notion de « seuil de pauvreté », le prix Nobel 2015 se distingue par son optimisme tempéré.
Ouvrage original paru chez Princeton University Press. Traduit de l’anglais par Laurent Bury.