For the first time since 1915-1917, life expectancy in the United States fell for three consecutive years between 2015 and 2017. This was largely due to a dramatic rise in suicides and deaths from drug or alcohol overdose and abuse. In 2017 alone, more than 150,000 American died from one of these so-called "deaths of despair" (DoD), representing a six percent increase from 2016 and a more than 100% increase since 1999 (see Figure 1). All told, accidental deaths including those related to drug and alcohol overdose are now the third leading cause of death in the United States while suicide is ranked 10th. 1 This epidemic was first considered by Case and Deaton (2015, 2017. The authors, who coined the phrase "deaths of despair", specifically focus on working age, less educated, non-Hispanic white men, whom Case and Deaton show have been most impacted by DoD since the early 1990's. 2 The authors point to an increase in globalization, healthcare costs, and automation as the underlying drivers of DoD. They argue that these caused decreasing real wages and a decline in attachment to the labor market, both of which contribute to feelings of hopelessness.The initial works by Deaton (2015, 2017) have spawned a robust literature. For example, Dow et al. ( 2020) leverages state-level variation in minimum wage policies to show that a 10% increase in minimum wage reduces suicide by 2.7% but does not change substance related deaths. Monnat (2020) shows that living outside a metro area makes a person more vulnerable to these deaths, and that mortality rate growth for women is particularly concerning. Tilstra et al. (2021) shows that