You certainly don’t have to be super rich, just stable.

A salary a bit above the median and a job with consistent insurance means you’ll have equal opportunity for healthcare relative to Western Europe.

I also don’t think this decrease in life expectancy is necessarily entirely due to healthcare; overdoses have massively gone up and so have suicides. This yet again effects poor people more than those that are well off and comfortable.

Our biggest issue is certainly the wealth gap. There’s a LOT of people in relative poverty and the minimum guarantees for quality of life provided by the government is absolutely not on par with Western Europe.