Yes, the Americans are not as effective at war on drugs as Europeans, which is why we have very high rates of death from overdoes, which is the main driver of low life expectancy.

they're dying sooner because of diseases of ... affluence.

and we can expect the new weight loss drugs to make a noticeable dent in that (at the cost of who-knows-what side effects, but they can't be as big a killer as obesity)