The US does not have "among the lowest" life expectancy. We're just out of the top quartile. And that has less to do with the quality of American health care and more to do with obesity and sedentary lifestyles. I expect with the more widespread introduction of GLP-1 receptor agonists you're going to see a jump in American longevity.

The US has a lower life expectancy than Cuba (!).

Despite decades of illegal blockade, despite economic warfare.

The Cubans are quite a bit thinner than Americans.

American healthcare is fantastic — best in the world – IF you can afford it.

Certainly there are multiple factors at play (for longevity) [0].

I know nothing — dropped out of medical school almost twenty years ago. Won't participate in private health insurances (Dr. ER).

[0] USA #55 (2023) <https://en.wikipedia.org/wiki/List_of_countries_by_life_expe...>

Everyone in the US has access to healthcare. We have programs that cost little or nothing, depending on your income. Beyond that, we have EMTALA, which means the ER can't turn you away even if you never bothered to sign up.