What would the numbers be without pharmaceutical agents? America is already disgustingly unhealthy to begin with, so it's easy to blame pharmaceutical companies as they shove cheeseburgers down their throats and drink a liter of vodka every night instead of acknowledging that they need to take their own health into their hands.
1/3 of Americans are obese, and the vast majority of Americans live sedentary lifestyles. Big pharma doesn't need to do much to profit off America.