Hi John, thanks for sharing your perspective. I agree there's no objective "winner" on all measures- especially if you focus on smoking and meat consumption. However, I would argue there ARE substantial differences between societies in developed countries - just look at health outcomes between the US and the OECD countries to see some pretty major ones, especially when it comes to chronic illnesses, obesity, infant mortality, etc: https://www.commonwealthfund.org/publications/issue-briefs/2020/jan/us-health-care-global-perspective-2019. or https://www.latimes.com/archives/la-xpm-2007-oct-02-fi-healthspend2-story.html

I agree you can find ways to be healthy in any country if you try, though my perspective from having spent large amounts of time in various US and German cities is that it's easier here. If you've also lived in Europe and disagree on that one, I'd love to hear your take :)