My point is not that unfiltered coffee is good, I’m just saying that northern italians who eat dessert for breakfast, cook everything in lard, drink unfiltered coffee and even (gasp) sometimes smoke cigarettes are significantly healthier than Americans on every metric.

Not saying those things are necessarily good for you, I’m just saying we don’t seem to understand this stuff very well

Probably because they don't consume gobs of HFCS and ultra-processed foods, don't take the car for every single thing[0], and have obesity/overweight rates that are 20-40% lower. A healthier work-life balance and concomitant lower cortisol and blood pressure also helps a lot.

If you compare Italians and Greeks to, say, Swedes and Dutchies, you'd get a much different picture.

[0] not entirely Americans their personal fault, their urban design isn't for walking around

>and even (gasp) sometimes smoke cigarettes are significantly healthier than Americans on every metric.

Not just "sometimes". Less these days, but when they were recognized as blue zones decades ago almost everybody smoked like chimneys.