I am not sure about this age group in cities. But overall, USA populations in metro areas have same mortality figures as in EU, Canada and Japan. But, away from metro areas, this drops by 5 or more years per person. Preventive, and not emergency, care is a lot of that reason.

About 3 million Americans die every year. Compared with other rich countries, we die at an alarmingly higher rate: One-quarter of those deaths wouldn’t have occurred if America were only as deadly as its peers.

The Black Book of Capitalism strikes again