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My suspicion is he avoided the doctor for long enough that his health declined past the point where antibiotics would fix it.
yeah, I'm reading more about it now and it looks like death is fairly preventable
northern AZ is pretty chuddified, so I'm wondering how much of a mindset like "I'm not going to no DEI doctor who will give me woke vaccines
" was a factor here
Northern AZ is also very rural outside of Flagstaff (which is one of the blue cities), and Coconino County contains parts of the Navajo, Hopi, Havasupai, Hualapai, and Kaibab-Pauite reservations. There is a lot of poverty and limited access to healthcare for a lot of these communities.