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 @134318c2 

Cuba used to be well-known for its medical care provided to all, so it wouldn't be surprising for them to outperform a country notorious for denying health care to all but the wealthiest-- in the US even the middle class have to consider, every time they think of getting treatment, if this is the time the insurer will deny something & cost you hundreds of thousands of dollars you can't pay

But, yeah, our life expectancy has always been a disgrace compared to others 
 @4f6e8a75 

The gap in race in the US is a lot of the reason. Income is also a big factor, but getting people to just not care that black people die much younger ... well.