My great grandmother mowed her lawn, weed eated, crawled down to change the oil in her car, and climbed up onto her roof to do her gutters until near age 90.
My grandmother, her child, had lifelong issues from gestational diabetes and died in her early 70s. Also could barely do much of anything physical from age 50 on.
It’s random luck, with the odds skewed one way or another by medicine and healthcare (or lack thereof). Think of everything like D&D and it clicks better. Sometimes people just keep rolling 20s despite the odds. Sometimes they get an advantage/disadvantage to their roll from medicine, genetics, lifestyle, and environment. Sometimes you have every advantage in the world and still roll that 1.
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