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@agitatedpotato yeah, no doubt those are factors indeed, especially the mental health one.
Wife made a succinct point at how much more stressful life in the States is in general with regard to the “keep up or die” lifestyle we have here and I feel it’s a major contributor.
Miss one paycheck or slip on a bar of soap in the shower and wind up with a $20000 hospital bill and cause several years of worry and paranoia (as an example). Other places in the world don’t have to deal with that, hence they also don’t have the mental illness rates we do
(Again simple example for a complex variable just for illustration purposes; don’t flame pls 😉)