Prior to age 65, the US's leading mortality position is due to factors including gun violence, mental health crises, poor prenatal care, and the fentanyl crisis.

“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 we talked about um access to guns a k a culture of violence uh things you haven't even alluded to but greater mental health crises that you know just go hand inand with all these things uh poor access to prenatal care um relative to other developed Nations that's leading to a far higher degree of of infant mortality and these things just add up”