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Americans are not a monolith. Tons of Americans are concerned. Tons are not. Also many Americans have lives where these issues the news typically stirs up don't really actually impact their daily lives. Others are dramatically affected. It really depends on location and status, among so many factors.
Various news and online channels might have you thinking all Americans are basically the same and experiencing things the same, but they are definitely not.
And yet every state has the same leading cause of death.