"What if the state really decided to force you to live healthily? The results would be a horrifying dystopia, in which everybody lived to be 120."
There's some really interesting details in this. For example, where you live in a perfect health dystopia:
"That means
mile-high birthing centers. People who spend a significant part of their
lives well above sea level tend to live years longer than people who
live farther down. Scientists believe that this is due to the relative
scarcity of oxygen. It turns out that very, very mildly asphyxiating
people for significant portions of their lives can help fight heart
disease and even cancer. The body engages processes that allow it to
more effectively use oxygen.
Granted,
oxygen deprivation is not a solution forever. As people get older, or
get respiratory illnesses, they need more oxygen on tap. Not to mention,
high altitudes often have hot summers and cold winters, which aren’t
good for the elderly. So in our perfect dystopia, people would be born
and live their youth in centers on the top of mountains, and gradually
move downhill to milder climates and richer oxygen sources as they aged.
That would
probably be all the traveling they ever did. Air travel not only spreads
infections from one population to another, it doses people with
radiation. In flight, people's bodies play catch with more cosmic rays
than they do on the ground, where the Earth’s atmosphere shields them.
An occasional flight isn’t going to hurt you, but then there are the
pilot and crew to be considered. Some worker’s rights groups are pushing
to have flight crews classified as radiation workers, and given more
frequent check-ups to maintain their health.
What’s
more, every eleven years, the sun kicks solar radiation into high gear,
and flights dose people with even more radiation than usual. Forget
passports. Anyone leaving the country would need health permits and
quarantine periods. During flu season and for one year out of every
eleven, the country would simply be closed to air travel."
And marriage isn't guaranteed good:
"For one thing, studies generally claim that marriage is good for people’s life expectancy, when actually marriage is good for men’s
life expectancy. Women derive little benefit from marriage in terms of
life-extension, and sometimes aren't even included in the studies.
Peppy
articles selling marriage also don’t make any mention of the fact that
most studies put divorced people in the same category as those who have
never been married. It turns out that nothing runs down your life
expectancy like divorce. The stress is incredibly hard on people, and it
shows in their actuarial tables. When being divorced is no longer
counted as never having been married, it’s shown that permanently single
and permanently married people have comparable life expectancy.
On those grounds, the government should ban marriage entirely. Why
expose people to the perilous risk of divorce and early death, for so
little gain? When a person’s familial needs are met with disappointment,
the consequences are disastrous."
And then there's retirement:
"One Greek
study showed that people who took retirement at fifty-five tended to die
much earlier than people who retired later. A study of workers at an
oil refinery turned up the same result — leaving work at fifty-five
means death.
While some
critics pointed out that retirees and workers often get different health
care benefits, and that might skew the results of the study, others
pointed to something more basic: self-selection. If a person is
fifty-four and knows they’re in terrible health, they have no reason to
try to save up for a long life after retirement. They want to enjoy the
little time they have, so they take early retirement. Someone who’s in
good health has to save up because they have a long life to look forward
to.
Meanwhile,
other studies show that early retirement, taken by people in good
health, tends to extend life. Overall, health and enjoyment of the job
make the difference. People who are stressed out and sick will benefit
from an early retirement. People who enjoy their work and are healthy
enough to do it can keep working."