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Dr. Giselle Corbie, an expert on health equity research at the University of North Carolina School of Medicine who was not involved in the current study, described the results as a worrisome reflection of failures throughout the American health system.

Tekeith Jones, 26, was charged with three counts of second-degree intentional murder in the killings of D’Zondria Wallace, 30, her 13-year-old daughter La’Porsha and her 11-year-old son Ja’Corbie at their home in St. Paul on Saturday.

First responders asked Ja’Corbie who shot him, and he replied, “Keith,” who he said was his mother’s boyfriend.

Ja’Corbie was still breathing and was taken to a hospital for emergency surgery, but he did not survive.

Family members identified the victims to the Minneapolis Star Tribune as D’Zondria Wallace, who had moved to St. Paul just six months ago in search of a new life, her 14-year-old daughter La’Porsha and her 11-year-old son Ja’Corbie.