Factors contributing to lower US life expectancy include gun violence, poverty-related poor prenatal care, and prevalent chronic diseases.

“prior to the age of 65 you know the reason that we're in last place is a few of these things that are unfortunately more American than they should be right so we talked about um access to guns a k a culture of violence um greater mental health crises that you know just go hand inand with all these things um poor access to prenatal care relative to other developed nations that's leading to a far higher degree of of infant mortality and these things just add up”