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Looking at the leading causes of death in the United States is like holding up a mirror to the nation’s health. Some familiar threats remain firmly on top, while others are quietly moving in or fading out. The most recent confirmed data from 2023, along with provisional figures from 2024, shows an interesting shift. While heart disease and cancer still dominate, COVID-19 has slipped out of the top 10 for the first time since the pandemic began, making space for suicide to re-enter the list. These movements tell a deeper story: not just about medicine, but about lifestyle, social pressures, and the way prevention succeeds or fails across different communities.