But yeah, todays access to clean drinking water is largely an economical issue, not so much a technical one.
It’s crazy to think how medicine didn’t really advance for ~2000 years, and then vaccinations, antiseptics, and anesthesia (and later antibiotics) came into use and medicine advanced rapidly. Oh, add in a dash of germ theory and the scientific method, and stir. The Romans were really quite amazing!
B) Excluding infant mortality, you were generally good to go to 55-60 in Rome, about where the US was in 1920's or 30's time frame.
C) that's plenty of time for acute or chronic lead poisoning to F anybody up.
Highest mortality was among infants and young children. Once you reached age 20, odds were quite good of living to 60. Elders of 80+ years were common.
These are data from England and Wales, 1700 to present, but would all but certainly have been similar for ancient Rome:
https://ourworldindata.org/uploads/2013/05/Life-expectancy-b...
The issue with Flint was that they increased the acidity of the water by changing the water source, which removed that barrier.