Century Lives – Details, episodes & analysis

Americans are obsessed with youth. But instead of keeping us younger, that focus is proving detrimental to our health. Join us as we explore how the U.S. can reframe our government policies and social perspectives to help extend our lives. In the first episode of Century Lives: The Century Club, “The Fountain of Youth,” Ken searches for centenarians in Italy, drags his Gen Z son to Florida’s Fountain of Youth tourist attraction, and learns an interesting truth from the chronicler of the world’s long-lived Blue Zones.

Though attitudes about retirement are shifting rapidly, traditional notions of retirement still hold currency. In Episode 6, we meet Maria and Brendan D’Souza. Maria is a senior nurse at Lyndon B. Johnson Hospital, just a few years away from retirement. Her son Brendan is freshly minted from medical school, starting his career just a few floors away from his mother. They share a family bond, a career, and many of the same interests and passions, but for all that unites them, different perspectives and circumstances facing their generations are creating different ideas about retirement, caregiving and family commitments.

In Episode 3 of Century Lives Season 4: A Lifetime of Inequality, we go to Phoenix, Arizona, to understand how it is that the built environment can have great consequences for lifelong health and longevity. We focus our story on trees, which are abundant in wealthy North Phoenix, and almost completely absent in South Phoenix—instead replaced by concrete, warehouses, railroads, highways, and the like. In Episode 3, we discuss how climate change is only exacerbating the situation, and how the consequences affect predominantly poverty-level Black and Latino people.

As it turns out, a person's lifelong health and longevity take root even before they are born. Preterm birth and low birth weight are connected with a range of medical issues that span the life course—including all-cause mortality. But when it comes to maternal and infant health, complications for Black mothers and babies far surpass those of other demographics. In Episode 2, we head to Los Angeles County to find out why—and to learn how the African American Infant and Maternal Mortality Initiative is working fiercely to improve health outcomes for Black mothers and babies.

In Episode 1 of Century Lives Season 4: A Lifetime of Inequality, we visit Albuquerque, New Mexico, to explore the impact of early childhood education on lifelong health. The story looks at the impact of high quality early childhood education on health, and then follows the 12-year effort to pass Constitutional Amendment 1—an amendment to fully fund childhood education for all children in the state.

In our last two episodes of the season, we explore the challenges of concentrated urban poverty—and the depressive effects it has on health and life expectancy. And we examine two different approaches that might remedy it. In episode 6: a story about going. We reexamine Moving to Opportunity: a grand 1990s public housing experiment intended to improve the incomes of public housing residents. That didn’t work, and the program was initially seen as a failure. But alongside the negative results, a positive and unexpected finding emerged, with a lesson about the surprising impact of neighborhood on health and longevity.

In our last two episodes of the season, we explore the challenges of concentrated urban poverty, and the depressive effects it has on health and life expectancy. And we examine two different approaches that might remedy it. In episode 5, we tell a story about staying. We visit Woodlawn, a neighborhood in Birmingham, Alabama, that is literally on the wrong side of the tracks. We learn how health improves when a community that long suffered from disinvestment comes together to rebuild from within.

Do the ladies of the Quilt Guild, the short order cooks at the City Pool Hall, and “Pumpkin Joe” hold the secrets to longer life? In episode 4 of Century Lives: Place Matters, we travel to Eastern Kentucky: a region marked by drug use, job loss, and life expectancy decline. But these folks live in Wayne County, a bright spot where life expectancy exceeds that of neighboring counties by four years. In this episode, we investigate the role of weak ties and social cohesion in community health.

What could housing possibly have to do with life expectancy? Quite a bit, actually. In episode 3 of Century Lives: Place Matters, we travel to the Bronx: the least healthy county in New York. But an affordable, working class community there called Co-op City has among the highest life expectancies in the entire city. Co-op City is also the nation’s biggest NORC, or naturally occurring retirement community. Join us as we explore the connections between affordable housing and health, and investigate why the residents of Co-op City continue to stay there, even as they age.

If there's one thing we know about life expectancy in the US, it's that wealthy communities have long life expectancies and poorer communities have shorter life expectancies. But some poor communities far exceed their peers in terms of health outcomes and length of life. Experts will tell you that “place matters"—but they can’t tell you exactly why. In episode 2 of Century Lives: Place Matters, we explore the recent history of life expectancy in America. The United States is exceptional, and not in a good way: we are one of the wealthiest nations in the world, but our life spans lag far behind our economic-peer nations. In ”American Exceptionalism,” we consider reasons that life spans in the U.S. aren’t as long as they could be—and consider ways we can all live longer.