And there are other metrics to consider. The US is 35th in life expectancy and falling farther behind. And we have notoriously bad rates of maternal and infant mortality compared to other wealthy nations.
For example I was taught that a big part of why our maternal mortality is high, is because new mothers who are poor do not or cannot follow up with their doctor in the days after release from the hospital if something isn't right, e.g. when bleeding fresh blood instead of clotting. Visits to the doctor are expensive, and various barriers (such as language) may have prevented them from being educated on when to come back for help.