How America Got So Sick

February 9, 2026

TL;DR

The Antonine Plague weakened the Roman Empire, potentially contributing to its fall.
The US public health system, once a leader in global health, is now faltering.
Declining vaccination rates and resurgent diseases like measles indicate a systemic breakdown.
Erosion of trust in government, science, and expertise, exacerbated by political polarization, is a key factor.
A decline in the sense of mutual responsibility among Americans underlies various public health crises.
The public health revolution of the 20th century was built on cooperation and shared sacrifice, which are now diminishing.
The current challenges are not due to a lack of medical advancement but a shattering of shared reality and the ability to act for a common cause.

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