True, you could live on the dole your whole life like Europe.You can't take diet in isolation from the rest of your life. For instance, focusing on the what foods to eat in something like the "Mediterranean diet" misses the bigger picture of the lifestyle those people live. Food is only part of what is going on. Same with exercise. Do you work 50+ hours at a high stress job and try to balance work with family commitments/events, along with finding time to train, hunt, shoot, etc? It might be that the reason people in a certain region of the world live longer and are healthier might have more to do with working shorter hours, less stress, a solid social life outside of work/family, enjoy a glass of wine outside at a local cafe in the evening with friends, etc.