It's not just the recent massive drop in life expectancy from the Trump/GOP disastrous anti-vaxx, failed Covid19 response.
It's also how badly the US has been lagging for decades because of guns, poor maternal and child health care, cars, and more guns.

https://www.npr.org/sections/health-shots/2023/03/25/1164819944/live-free-and-die-the-sad-state-of-u-s-life-expectancy?s=09