“The US ranks 45th in life expectancy (“behind Bosnia and Jordan,” he adds)”
A lot of this can’t be blamed on the medical industry. Those people, on the whole, certainly eat better (and less), and many more practice an ancient form of exercise called... “honest hard work”.
We also have lots of minorities dieing in their teens because of their living in drug warzones. This does not make our longevity statistics easily comparable.
Some of that is statistical games on things like neonatal deaths.
We count lots of things as deaths that are not counted in other countries.