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xxiv<br />

Strategic Choices for a Turbulent World: In Pursuit of Security and Opportunity<br />

ments to bend the long-term trend lines in U.S. favor. The United<br />

States possesses enormous strengths and competitive advantages that<br />

have enabled it to thrive for more than a century in the face of determined<br />

adversaries. Chief among them have been the adaptability of the<br />

nation and its citizens in confronting daunting challenges, domestic<br />

and international; its culture of innovation; and its ability to garner<br />

friends and partners across the globe. At the same time, the country<br />

also has structural economic weaknesses, deep political and cultural<br />

divisions, problems in its labor market, and unprecedented levels of<br />

national debt. If not addressed, the political ramifications of these vulnerabilities<br />

may constrain the ability of the United States to mount an<br />

effective, coherent foreign policy.<br />

There is growing national debate over a wide range of indicators<br />

that a segment of American society is failing to thrive, partly because of<br />

socioeconomic problems that have not been mitigated by recovery from<br />

the Great Recession. The “downward mobility” of some formerly middleclass<br />

Americans is more than an economic phenomenon. Americans also<br />

now have shorter life expectancy and worse health outcomes than their<br />

counterparts in other affluent nations. Mortality rates of white males<br />

ages 45 to 54 have increased for the first time, 4 as has the suicide rate. 5<br />

A Federal Reserve survey found that 31 percent of Americans said they<br />

were “struggling to get by” or “just getting by” financially. 6 This failure<br />

to thrive among nearly one-third of the population raises the question of<br />

how to improve job prospects, economic well-being, and financial security,<br />

without hurting the incentive systems that keep the U.S. economy<br />

strong. Whatever future administrations’ policies toward the “1 percent”<br />

4 Anne Case and Angus Deaton, “Rising Morbidity and Mortality in Midlife Among<br />

White Non-Hispanic Americans in the 21st Century,” Proceedings of the National Academy of<br />

Sciences, Vol. 112, No. 49, December 8, 2015.<br />

5 Erin M. Sullivan et al., “Suicide Among Adults Aged 35–64 Years—United States, 1999–<br />

2010,” Centers for Disease Control and Prevention, Morbidity and Mortality Weekly Report,<br />

Vol. 62, No. 17, May 3, 2013, pp. 321–325.<br />

6 Consumer and Community Development Research Section of the Federal Reserve<br />

Board’s Division of Consumer and Community Affairs, Report on the Economic Well-Being<br />

of U.S. Households in 2015, Washington, D.C.: Board of Governors of the Federal Reserve<br />

System, May 2016.

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