The study examined the association between meditation practice and mortality in American adults using data from the National Health Interview Survey from 2002 to 2017 with follow-up through 2019. The research included 90,041 participants, of whom 9.3% (8,402 individuals) practiced meditation in the past 12 months. During 818,248 person-years of follow-up, there were 10,027 all-cause deaths and 3,040 cardiovascular deaths. Results showed that meditation had no overall significant effect on mortality. However, among individuals with income below 200% of the federal poverty level, signs of a protective effect were observed. Bayesian analysis in high-risk groups similar to clinical trial participants suggested potential benefit for cardiovascular mortality. The authors consider these findings hypothesis-generating for further research.