One reason that American life expectancy is declining is GOP opposition to public health practices that save lives https://www.washingtonpost.com/health/interactive/2023/republican-politics-south-midwest-life-expectancy/

How red-state politics are shaving years off American lives

Along Lake Erie, three states show how Republican lawmakers’ decisions over decades on cigarettes and seat belts are shortening life spans.

Along with other factors of morbidity that the Republican Party is helping along. An international scandal imo.

No doubt about it.