In a few years we might look back at this period and think: oh, it was at the time when we thought gut bacteria was the solution to every health problem known to mankind. Remember when it was vitamin D?
I think this is very different in that it's something we previously completely disregarded in health outcomes. We consume various things that we know wreak havoc on our gut biome including antibiotics and various residual herbicides, but it was felt that this was mostly harmless as the gut biome did not play a critical role in our physiological condition. Now it's seeming that it may indeed be quite a critical system…
A lot of factors are probably involved as you say, but if I had to guess at the elephant-in-the-room dominant factor I'd say it's the US's model of what's euphemistically called "health care" and "health insurance." It's a complete no-brainer that people who can't afford medical treatment are dying earlier.