"The findings are a stark reminder that even the wealthiest Americans are not shielded from the systemic issues in the US contributing to lower life expectancy,

"The findings are a stark reminder that even the wealthiest Americans are not shielded from the systemic issues in the US contributing to lower life expectancy, such as economic inequality ...," lead study author Irene Papanicolas, a professor of health services, policy and practice at Brown, said in a news release. That's a pretty funny take, that economic inequality is a systemic risk for rich people. I wonder if Dr P thinks that the stress of noblesse oblige is too much for the frail US elites (as opposed to the horrible diet endemic in the US)