And depending on how it's measured, that can have a disproportionate effect on "average life expectancy".
Indeed. As I wrote:
If your premise were correct, that could well be an explanation (and also and explanation for the slightly lower 'life expectancy at birth' in the US) - but, as above, I'm not sure that the premise is correct.
I read once that what appeared to be a life expectancy of X years in historical times could be a bit misleading if it simply looked at averages, as that would include infant and child mortality, which were high. The reality was that if you survived beyond, say, 5 years of age you weren't looking at an average life expectancy of only another 40-odd years. Yes, if you got cancer, or even a simple infection, it could carry you off, but barring that you had a fighting chance of living longer than the stats would have you believe.
That's the very point which EFLI and I have been making. 'Average' life expectancies (from birth, or from an specified age) of of very limited usefulness, except for actuaries - for them, the mean life expectancy from a particular age provides a precise measure of the risk ('expected payout') with life insurance.
There are other misconceptions/anomalies. Many people think of the 'average life expectancy' as being a median, rather than the mean that it actually is. In other words, they think that if they have a 'life expectancy' of, say, 80 years, that means that they have a 50% chance of reaching that age - which, in practice, is virtually never the case. Life expectancy is also a 'moving target'. If a person had a 'life expectancy' (at birth) of 80 years, they would still have a finite (further) life expectancy if they reached, say, 90.
As populations get older and medical sciences advance, lifespan is going to become an increasingly questionable realistic measure of healthcare. Particularly if we make major inroads into preventing/delaying deaths due to cancer and/or heart disease (which, between them, currently account for the majority of deaths), 'increased lifespan' will increasingly mean 'keeping people alive' beyond the point at which they can have meaningful independent lives - so it not necessarily an 'outcome' to strive for.
Everyone dies of something, eventually, regardless of the quality of healthcare. Reduction in what can be described (although not so easy to define!) as 'premature' deaths (and 'disabilities') is probably a much more reasonable measure of the quality of healthcare than is any measure of 'life expectancy'.
However, one cannot really look at this in impassionate utilitarian terms. A very disproportionate amount of healthcare expenditure goes into giving very high-tech and expensive treatment to a relatively small number of patients. A utilitarian would presumably simply "allow those 'few' to die", without treatment, releasing a lot of resources which could be used to improve the quality of healthcare for 'the many'.
Kind Regards, John