"Every once in a while, you get these spikes and mortality jumps up — but there’s usually something you can point to to explain why it happened," said one of the authors of that commentary, Dartmouth health economist Jonathan Skinner. "You can point to the fact that millions of Russian men lost their secure jobs in the Soviet Union."
The same isn’t true for the mortality trends in the US today, he added. "The attribution here is just much more difficult because we think we have some idea — we are pointing to opioids — but we don’t really know yet."