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You mean the Japanese get five extra years of doddering, drool bucket magnificence? What an outrage.
Look at the bright side: they save $5000/yrs in the process...
Part of it may be quality of health care. The elephant in the room is culture. How much do we care about health? How much do we know about it? How much of our time and attention span do we devote to it? I'm guessing the problem is us. We like to spend money on it, but probably don't bother working healthy habits into our lives.
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https://www.bloomberg.com/graphics/2017-health-care-spending/