Most people think that the food that you eat, the amount of money you make, and the time you spend working out are the most important factors that can influence you’re life expectancy. However, it turns out that the place where you live also plays a role in all of it. Keep on reading to discover more about it.
Study shows your zip code is important!
A landmark study tracking over 179 million deaths between 1969 and 2020 reveals just how dramatically geography shapes health outcomes in the United States. While overall life expectancy has risen, the benefits haven’t been shared equally. Southern states like Mississippi and Alabama saw gains of less than three years for women over five decades. In contrast, coastal regions like California and New York posted increases of up to 20 years.
One of the most dramatic shifts occurred in Washington, DC, where men gained nearly three decades in life expectancy. This is mostly because of aggressive public health campaigns, improved education, and better access to healthcare. These numbers don’t just reflect longevity. They expose how deeply place and policy are tied to survival.

States and the Uneven Playing Field of Health
The keyword States takes on more weight when you realize that your zip code may impact your lifespan more than your genetics. Differences in healthcare infrastructure, access to nutritious food, pollution levels, and even local legislation around smoking or opioids all play a role. States that expanded Medicaid or invested in community health saw faster and more sustained improvements.
Meanwhile, rural areas and historically marginalized communities still face major hurdles, such as hospital closures and physician shortages. The differences go further than physical health. Mental health services, maternal care, and chronic disease prevention are all harder to access in regions with fewer public resources.
Funding cuts in the place you live
The looming threat of federal health funding cuts makes this situation even more urgent. Programs that drive vaccinations, nutrition assistance, and disease surveillance are already under pressure. Without continued investment, even the most successful regional interventions may stall, or worse, reverse.
This study isn’t just about numbers. It’s a wake-up call that policy, infrastructure, and geography are life-and-death issues. Which means that without equitable action, the place where you live will decide how long you live.