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    <title data-ignore-plain-text>Issue 19: Societal decay: Infant Mortality</title>
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    <table role="article" aria-label="Issue 19: Societal decay: Infant Mortality" lang="en-US" cellpadding="0" cellspacing="0" border="0" align="center" id="newsletter-table" style="font-size:16px;font-weight:normal;width:100%;padding:0px;background-color:#eff0f1;border-top:44px solid #eff0f1;border-bottom:44px solid #eff0f1;margin:0 auto;text-align:center;table-layout:fixed;">
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            The End of the American Empire ͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;͏‌&nbsp;
        
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      <h4 style="color:inherit;margin:1.414em 0 .5em;font-weight:400;line-height:1.25em;font-size:1.328125em;mso-line-height-alt:1.328125em;margin-top:0;font-family:'Segoe UI', Candara, 'Bitstream Vera Sans', 'DejaVu Sans', 'Trebuchet MS', Verdana, sans-serif;letter-spacing:.02em;text-align:center;">Ambitious Minds Podcast</h4><p style="color:inherit;font-size:1.0625em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;margin-bottom:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;letter-spacing:-.01em;text-align:center;" class="">I recently had the pleasure of sitting down with Jay on his Ambitious Minds Podcast. On this podcast Jay Lawrence shares inspiring stories from ambitious young professionals and entrepreneurs. We had a great chat delving into the writing and publishing process, the motivations behind the book, the need for compassionate change and how I aim to help toward this goal. Jay is a great host, and I really enjoyed this one, I hope you do too! Listen on <a href="https://podcasts.apple.com/gb/podcast/17-patrick-watts-author-of-the-end-of-the-american-empire/id1731311239?i=1000658133693" rel="nofollow" style="color:#000 !important;">Apple Podcasts</a> or <a href="https://open.spotify.com/episode/0sjhvIx84CfGKcqITM50If?si=8295383086ef4c5d" rel="nofollow" style="color:#000 !important;">Spotify</a> now, and check out the Ambitious Minds <a href="https://www.ambitiousmindspodcast.com/17-patrick-watts-author-of-the-end-of-the-american-empire/" rel="nofollow" style="color:#000 !important;">website</a>. </p>
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      <h4 style="color:inherit;margin:1.414em 0 .5em;font-weight:400;line-height:1.25em;font-size:1.328125em;mso-line-height-alt:1.328125em;margin-top:0;font-family:'Segoe UI', Candara, 'Bitstream Vera Sans', 'DejaVu Sans', 'Trebuchet MS', Verdana, sans-serif;letter-spacing:.02em;text-align:center;">The Russian Empire</h4><p style="color:inherit;font-size:1.0625em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;letter-spacing:-.01em;text-align:center;" class=""><strong>Period:</strong> 1721-1917<br><strong>Region:</strong> Europe, Asia<br><strong>Extent:</strong> 8.8 million square miles<br><strong>Population:</strong> 125.6 million people</p><p style="color:inherit;font-size:1.0625em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;margin-bottom:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;letter-spacing:-.01em;text-align:center;" class="">Find out more about the Russian Empire, why it fell and what this can teach us about <em>The End of the American Empire</em> in <em>Chapter 2: The End of Empires</em>.</p>
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      <h4 style="color:inherit;margin:1.414em 0 .5em;font-weight:400;line-height:1.25em;font-size:1.328125em;mso-line-height-alt:1.328125em;margin-top:0;font-family:'Segoe UI', Candara, 'Bitstream Vera Sans', 'DejaVu Sans', 'Trebuchet MS', Verdana, sans-serif;letter-spacing:.02em;text-align:center;">Infant Mortality</h4><p style="color:inherit;font-size:1.0625em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;letter-spacing:-.01em;text-align:center;" class="">This week we continue our focus on the domestic issues at the heart of the American Empire, examining the causes, effects and dangers of this societal decay, illustrated this week with an examination into the rate of Infant mortality.</p><p style="color:inherit;font-size:1.0625em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;letter-spacing:-.01em;text-align:center;" class="">Infant mortality, another useful gauge of societal health (or sickness), is higher in the US than in most other developed countries, with the US recording similar levels to Serbia and <a href="https://www.sciencedaily.com/releases/2016/10/161013103132.htm" rel="nofollow" style="color:#000 !important;">Malaysia</a>. A staggering 50 per cent of pregnancies are unplanned in the US, and some of these involve women who do not realize they are pregnant in time to receive proper prenatal care, resulting in more premature births and postnatal difficulties. The cultural, religious and societal issues surrounding abortion further exacerbate the problem; women become less likely, or even unable, to receive assistance with their unplanned pregnancies, thus carrying more babies to term.</p><p style="color:inherit;font-size:1.0625em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;letter-spacing:-.01em;text-align:center;" class="">For the most part, the number of children dying in the US before one month of age is at a similar level to other developed countries, but it is after this point that socio-economic factors influence the figures and the gap widens. Unsurprisingly, children of wealthier and better-educated Americans have a similar chance of survival as their equivalents in developed European countries. It is within the less educated and less wealthy populations, however, that the figures change, with children born in these circumstances having less chance of survival than those born into similarly disadvantaged groups in equivalent developed European nations.</p><p style="color:inherit;font-size:1.0625em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;letter-spacing:-.01em;text-align:center;" class="">A large cause of these deaths is sudden infant death syndrome (SIDS), which is more prevalent among ethnic minorities. This is unsurprising as ethnic minorities are more likely to fall within the less educated and less wealthy sections of society than their white counterparts. Many of the factors that are believed to contribute to the incidence of SIDS can be linked to economic constraints endured by less wealthy families, such as the need for bed sharing and the inability to access costly home nurse visits.</p><p style="color:inherit;font-size:1.0625em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;letter-spacing:-.01em;text-align:center;" class="">Another major factor is the absence in the US of any paid maternity and paternity leave, a unique position within OECD countries. Sixty per cent of employed mothers are able to take 12 weeks of unpaid maternity leave, but for the remaining 40 per cent who are ineligible and for many of the 60 per cent for whom it is not a realistic economic proposition, this is not possible. In the UK, by comparison, mothers are given a mandatory two weeks of paid maternity leave, with a possible total of 52 weeks (six of which are on 90 per cent of full pay, the following 33 are also on 90 per cent or a maximum of £172.48 per week (whichever is lower), and the remaining 13 are <a href="https://www.gov.uk/employers-maternity-pay-leave" rel="nofollow" style="color:#000 !important;">unpaid)</a>. In other European nations the gap is even wider, with Swedish mothers receiving ten weeks of fully paid leave and 480 days of shared parental leave after this point. In Estonia, mothers can take fully paid leave for the first 18 months of their child’s <a href="https://www.theguardian.com/us-news/2020/jan/27/maternity-leave-us-policy-worst-worlds-richest-countries" rel="nofollow" style="color:#000 !important;">life</a>. If mothers cannot afford home visits from nurses and are afforded no time away from work to help with the first important stages of their child’s life, it is no wonder that the US figures for child mortality after one month are higher than their OECD peers. For many Americans whose wealth ensures they will not suffer these hardships, abortion rights are a bête noire to be attacked and rolled back at all costs for cultural, religious or opportunistic political reasons. The second a baby is born, however, their pro-life support comes to an end.</p><p style="color:inherit;font-size:1.0625em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;letter-spacing:-.01em;text-align:center;" class="">The notion that all children are born equal, with the same chance of success, is a fallacy. Too many infants are born with the odds stacked against them. Addressing and exposing this injustice is no simple task, as it is deeply rooted in and perpetuated by the toxic lie that individual agency is responsible for all success. This uniquely American mantra is hard-wired into the national psyche: “I never had any help growing up and I did just fine – people just don’t want to work hard enough.” Admitting that a privileged position at birth provides an advantage does not have to be viewed as a denial of the hard work that followed; it is simply a recognition that not all are born with the same opportunity for success.</p><p style="color:inherit;font-size:1.0625em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;letter-spacing:-.01em;text-align:center;" class="">All in all, these issues surrounding pregnancy, birth and infancy in the US are highly significant in the present day, and they have the potential to contribute to the decline of the American Empire in the decades to come. Children are the future of the nation, and if parents cannot care for their children in their formative years, these future American adults will have an impeded start to life. This will hinder their chances for educational and professional success in the long term. In neglecting its youngest and most vulnerable members in the here and now, the US may be sowing the seeds of its own demise.</p><p style="color:inherit;font-size:1.0625em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;margin-bottom:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;letter-spacing:-.01em;text-align:center;" class="">Make sure to pay close attention to <em>Chapter 3: Society … Decay from within</em> to learn more!</p>
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      <a href="https://linktr.ee/patrickwattsbooks" class="button-section-box button-style-rounded" style="color:#000 !important;display:inline-block;line-height:11px;margin:0;mso-padding-alt:0;text-align:center;text-decoration:none;transition:.15s;width:auto;background-color:#000;border:1px solid #000;border-radius:5.5px;padding:16px 0;"><i class="button-section-mso" style="letter-spacing:29.92px;mso-font-width:-100%;mso-text-raise:26.950000000000003px;">&nbsp;</i><span class="button-section-label" style="line-height:inherit;margin:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;font-weight:600;color:#fff;display:inline-block;font-size:11px;min-width:1px;mso-text-raise:15.95px;"><strong><span data-letter-spacing="3" style="font-size:inherit;font-weight:inherit;line-height:inherit;margin:0;letter-spacing:0.2em;">PURCHASE THE END OF THE AMERICAN EMPIRE</span></strong></span><i class="button-section-mso" style="letter-spacing:29.92px;mso-font-width:-100%;mso-text-raise:26.950000000000003px;">&nbsp;</i></a>
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      <h4 style="color:inherit;margin:1.414em 0 .5em;font-weight:400;line-height:1.25em;font-size:1.328125em;mso-line-height-alt:1.328125em;margin-top:0;font-family:'Segoe UI', Candara, 'Bitstream Vera Sans', 'DejaVu Sans', 'Trebuchet MS', Verdana, sans-serif;letter-spacing:.02em;text-align:center;">Money in Politics</h4><p style="color:inherit;font-size:1.0625em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;margin-bottom:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;letter-spacing:-.01em;text-align:center;" class="">The 2024 election will be the most expensive on record, more than the previous USD$16.4 billion spent in 2020. It hasn’t always been this way…</p>
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      <h4 style="color:inherit;margin:1.414em 0 .5em;font-weight:400;font-size:1.328125em;mso-line-height-alt:1.328125em;font-family:'Segoe UI', Candara, 'Bitstream Vera Sans', 'DejaVu Sans', 'Trebuchet MS', Verdana, sans-serif;letter-spacing:.02em;text-align:center;line-height:1.25em;margin-top:0px;margin-bottom:0.5em;">Inequality</h4><p style="color:inherit;font-size:1.0625em;margin:0 0 1.25em 0;font-weight:normal;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;letter-spacing:-.01em;text-align:center;line-height:1.618em;margin-top:0px;margin-bottom:0px;" class="">And how about inequality? The average American CEO in 2020 earned a whopping 365 times more per year than the lowest paid worker in their firm; the largest ever disparity. Again, it was not always this way…</p>
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      <h4 style="color:inherit;margin:1.414em 0 .5em;font-weight:400;font-size:1.328125em;mso-line-height-alt:1.328125em;font-family:'Segoe UI', Candara, 'Bitstream Vera Sans', 'DejaVu Sans', 'Trebuchet MS', Verdana, sans-serif;letter-spacing:.02em;text-align:center;line-height:1.25em;margin-top:0px;margin-bottom:0.5em;">Let’s talk about debt</h4><p style="color:inherit;font-size:1.0625em;margin:0 0 1.25em 0;font-weight:normal;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;letter-spacing:-.01em;text-align:center;line-height:1.618em;margin-top:0px;margin-bottom:0px;" class="">In 2008, the US national debt was (adjusted for inflation) USD$14.10 trillion, which represented 68% of US GDP. This might sound like a lot, but let’s take a look at the size of national debt in 2020...</p>
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