My primary point is that poor health outcomes in the US (fully admit my views are US-centric given my experience and knowledge) have nothing to do with a lack of technology and everything to do with structural systems issues rooted in government policies.

I'm a big fan of Dr. Jessica Knurick, who publishes at length about many of the systems that cause and contribute to population-wide poor health in the US. Here's one article taking about food systems and nutrition: https://open.substack.com/pub/drjessicaknurick/p/the-food-sy... .