Congress passed Obamacare into law in December 2009, signed into law in March 2010. Despite the fact that premiums and deductibles went up significantly from 2010, it does not seem to have extended the lifespan of Americans.
Management at the health insurance companies went up significantly during this period.
https://www.macrotrends.net/countries/USA/united-states/death-rate
I’d say opioids.
Winner winner chicken dinner