One thing that also should be pointed out is the race gap in medical outcomes. When you look at the statistics Black Americans face a higher risk of stroke, heart attacks, cancer mortality, infant mortality, maternal mortality, HIV/AIDS, diabetes, pneumonia, etc. In almost every leading cause of mortality in the United States there is a significant gap between Native Americans and Black Americans and the rest of the population.<p>My sense is that there is a combination of culture and poverty that is causing this gap to occur. Poverty doesn't seem to be the sole cause IMO (although it's probably the biggest factor) because white people and asian people experience similar levels of poverty but asians live way longer.