The crazy thing is this is with Americans being generally extremely puritanical when it comes to alcohol and tobacco by European standards.
What on earth are they doing over there that's so crazily unhealthy you can have no fun and still only live as long as a beer swilling chain smoking European working class person?
You're European? You guys shipped over all your individualist (aka antisocial) people to the US. They have no idea how to work together to build a society, can't trust each other, so all they do is hustle and pray that having money will insulate them from each other. Doesn't work.