200 years ago life expectancy was 40 years, I don't think worrying about their skin condition or melanoma was their top concern when they were dealing with stuff like tuberculosis, typhoid fever, and the plague.
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That's actually incorrect, the average life expectancy of people before modern medicine was low because of the high amount of infant mortality (bringing down the average). But if you survived childhood, you could easily live into your 50s, 60s even 70s for some.Its's obviously way more common today but it wasn't unheard of in the past.