North America is a car captured hellscape where so many people have zero options but to sit in a car to get everywhere they want to go.

Meanwhile in Japan and so many other regions in Europe that are pointed to as healthier people have the option to simply walk to do so many of their daily tasks.

No real surprise that the regions where people have to actively work harder to be active are in poorer health than others where being active is the default easiest choice.

The built environment is a critical thing here we can fix to make a healthier society.