yes and that, to prove the authors point, is also collapse. The opioid epidemic, the car deaths, the obesity, the cancer, and the heart disease they're avoidable, they're the result of desolation at a societal scale, they're cultural illnesses, which the public responds to with indifference and numbness and another drive through at McDonalds.
Hundreds of thousands maybe more preventable deaths, every year, written off as "per capita" statistics, as if we're talking about a bad quarter at the office, and not human lifes. Every year maybe .5% more. That's what the author means when he's saying that you're already collapsing without even realising it.