because, remember, “correlation is not causation”!
Primacy number 1 (October 2018): “After a decadelong absence, the U.S. has regained the distinction of most competitive country in the world, according to the World Economic Forum”.
Primacy number 2 (November 2018): “Life expectancy in the United States declined from 2016 to 2017, yet the 10 leading causes of death remained the same, according to three government reports released Thursday: increasing deaths due to drug overdoses and suicides“
The CNN article also includes this statement by Dr. Robert Redfield, CDC director: “these sobering statistics are a wakeup call that we are losing too many Americans, too early and too often, to conditions that are preventable”.
But hey, correlation is not causation!