Thank you for writing this insightful story. I also read the JAMA letter yesterday and was surprised by the record-breaking gap since 1996. Your three points also align with my research. Risky behavior and the effects of testosterone are well-documented in the literature, but the findings on the impact of the pandemic are eye-opening and are worth further investigation to shed light on other factors that widen this gap. I agree with your conclusion that we are heading in the wrong direction.