Our Epidemic of Loneliness and Isolation

The U.S. Surgeon General’s advisory distinguishes social isolation—the objective lack of relationships and regular interaction—from loneliness, the subjective distress created when a person’s actual relationships do not meet their needs. It presents social connection as a major determinant of health: isolation and loneliness are associated with higher risks of premature death, while insufficient connection is also linked to heart disease, stroke, anxiety, depression and dementia.

The advisory proposes a six-pillar national strategy: strengthen social infrastructure, enact pro-connection public policy, mobilize the health sector, reform digital environments, deepen research and public understanding, and cultivate a culture of connection. It assigns roles to government, health systems, technology companies, schools, workplaces, community organizations and individuals, treating connection as public infrastructure rather than a purely private concern.