TOGETHER

The former surgeon general examines the health crises brought on by a more overarching plague: loneliness.

“For more than a century,” writes Murthy, “the physicians holding this office [the surgeon general’s] have addressed national health crises ranging from yellow fever and influenza outbreaks to the aftermath of hurricanes and tornados to the terrorist attacks on 9/11.” The epidemic he was called on to address took more insidious forms: eating disorders, depression, opioid and other chemical addiction, and suicide. All have in common a source in social dislocation—but not isolation, since being able to be alone can be a healthy thing—that in turn produces loneliness, the inability to summon human contact when human contact is wanted, even if one is in a room full of people. These days, the author writes, Americans aren’t good at being with others, and it doesn’t help that social media thrives on our loneliness, for which we turn to a world of virtual others for succor. Murthy’s approach is anecdotal, sometimes annoyingly so: Not every observation needs an “I was Joe’s anomie” story to back it, which blunts rather than sharpens the message. Still, the numbers are meaningful. As the author observes, there are more lonely or socially isolated people in America today than there are smokers, smoking having been a health problem that medicine and society banded together to do something about, never mind the tobacco lobbyists. Loneliness is more difficult to spot than a curl of smoke, and for that, Murthy offers some useful prescriptions, including teaching people “self-compassion,” which “is what shields us from—or at least softens the blow of—the judgment and ridicule of people who don’t understand us.” Other measures for young people, who bear much of the weight of the epidemic, include setting aside more family time and encouraging offline as well as online play.

A touch too pat at times but, overall, a well-considered diagnosis of a real and overlooked crisis in public health.