QUOTE : The increase in deaths of despair was almost all among those without a bachelor’s degree. Those with a four-year degree are mostly exempt; it is those without the degree who are at risk. This was particularly surprising for suicide; for more than a century, suicides were generally more common among the educated,1 but that is not true in the current epidemic of deaths of despair. The four-year college degree is increasingly dividing America, and the extraordinarily beneficial effects of the degree are a constant theme running through the book. The widening gap between those with and without a bachelor’s degree is not only in death but also in quality of life; those without a degree are seeing increases in their levels of pain, ill health, and serious mental distress, and declines in their ability to work and to socialize. The gap is also widening in earnings, in family stability, and in community.2 A four-year degree has become the key marker of social status, as if there were a requirement for nongraduates to wear a circular scarlet badge bearing the letters BA crossed through by a diagonal red line.