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I think the proximal answers for "why" are in the World Health Report, which tells you why people die.https://www.who.int/data/gho/publications/world-health-stati...

Some of those you'd assume are to do with health care in general, but some (alcohol and tobacco consumption) are more like direct causes in and of themselves.

pm90 · 11m ago

I get the feeling that Universal Healthcare (medicare for all) would probably level the difference? What else is responsible for the almost 4yr difference with e.g. France? Is it diet? Is the air/water worse in the US?

fredley · 43s ago

It's not just the universal healthcare enables access to healthcare to more people. When healthcare is something being paid for by everyone, the state of other people's health matters to you too (not just your own).

Therefore, things like public smoking bans (as we have in the UK) as well as public health campaigns around alcohol consumption and healthy eating become palatable. The cost of smokers' adverse health was (and still is) enormous, and reducing that burden benefits everyone.

diggan · 3m ago

> I get the feeling that Universal Healthcare (medicare for all) would probably level the difference?

Sometimes my wife convince me to try American candy/foods that we buy in these "foreign foods stores" locally, because she grew up eating some of them in her country.

And every time we check the contents by reading the nutrition-labels or checking with apps like Yuka, it turns out that the stuff Americans put in the mouth and stomach are filled with stuff that is outright illegal to put in foods here in Europe.

So if I were to guess, it would be related to what is legal to put in foods/consumables.

ne0flex · 1m ago

Probably a combination of Universal Healthcare, Food Regulations (from what I understand, food quality regulations in the US are lacking compared to the EU), more balanced cultural attitudes towards work-life balance, less car-focused cities and more walkable cities.

mog_dev · 7m ago

Food, I believe it's obvious. France obesity rate is also lower than the US.

Large portion of americans eat like they have free healthcare.

keiferski · 5m ago

Any analysis like this that doesn’t factor in the East needing to catch up after 50 years of communist policies is misleading. I would be curious to see the improvement rate in say, Poland and Croatia over the last twenty years factored in and projected into the next two decades. Especially if we include economic success; Poland for example is probably going to be more economically successful than places like Portugal, if it isn’t already.

davedx · 21m ago

Spot the "democratic socialist" countries.

diggan · 6m ago

The country I'm from and the country I'm living in right now are both "democratic socialist", has been called "socialist hellhole" by more people than I can count, and they both sit at +4.0 and +4.4.

So I guess the positive ones are the "democratic socialist" countries?

keiferski · 5m ago

Switzerland appears to have the highest of them all, and certainly isn’t socialist, although it’s definitely democratic.

agubelu · 19m ago

The countries with strong social-democratic parties are not the ones you think they are.

surgical_fire · 18m ago

You mean social democracy?

Those are basically all in yellow on that map.

anovikov · 24m ago

Isn't it simply because of race?

pm90 · 8m ago

While genetics might play a small role for very specific reasons (eg a society thats prone to sickle cell disease will likely live shorter), there’s no such difference in large, diversified populations like US/Europe.

lgeorget · 20m ago

Between USA and western Europe? Is there a difference?