I fear the first three bullets have such a bad effect on survivability that the third is not really such a factor.
Other countries, even much poorer ones, which much lower rate of vaccination than the US have lower death rates.
Other countries, even much poorer ones, which much lower rate of vaccination than the US have lower death rates.
Also I just noticed in my original comment I had made without realizing it a subtle "bullet" joke when talking about the US...