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The accelerated deindustrialization of North America, Europe, and Japan, and the shift of manufacturing to Asia in general and to China in particular, has been the leading reason for this reappraisal.[93] This manufacturing switch has brought changes ranging from risible to tragic. In the first category are such grotesque transactions as Canada, the country with per capita forest resources greater than in any other affluent nation, importing toothpicks and toilet paper from China, a country whose wood stocks amount to a small fraction of Canada’s enormous boreal forest patrimony.[94] But the switch has also contributed to tragedies, such as the rising midlife mortality among America’s white non-university-educated men. There can be no doubt that America’s post-2000 loss of some 7 million (formerly well-paying) manufacturing jobs—with most of that loss attributable to globalization, as most of that production moved to China—has been the principal reason of these deaths of despair, largely attributable to suicide, drug overdose, and alcohol-induced liver disease.
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Vaclav Smil (How the World Really Works: The Science Behind How We Got Here and Where We're Going)