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The U.S. mortality crisis is far bigger than the opioid epidemic — cardiometabolic diseases account for over half of the 12.7 million excess American deaths between 1999 and 2022. Heart disease, diabetes and stroke are killing nearly 473,000 more Americans annually than peer nations see, and the gap keeps widening. Federal policy needs to address the root causes driving this, not just pharmaceutical fixes.
Life expectancy gaps between the U.S. and other wealthy nations reflect lifestyle factors like obesity, violent crime and drug use — not inferior health care. When Americans actually get sick, the U.S. delivers world-class acute care, with 98% of Americans within 90 minutes of a cardiologist. The wealthy from across the globe travel to American hospitals precisely because outcomes here are among the best anywhere.