Life expectancy isn't soley based on the quality of health care there are many more factors. In industrialized nations there are millions of things that affect one's health. Prior to the ACA if you were a senior citizen that required life saving medical treatment like an organ transplant you had a reasonable expectation of receiving that treatment. Now you'll be told to go home and get your affairs in order because you are going to die. The best you can expect is pain management if needed and hospice care. That is the reality of the ACA. The political liability of what some called death panels inspired some creative editing, the panels remain, their existence just got buried in other language. Life and death decisions are still based on the bottom line. You can dig and google that all you want and you won't find it but it will become very apparent if you develop a life changing illness. I have a dear friend who has an aggressive cancer that is deemed terminal in any stage in which it's diagnosed. There are some treatments that are not a cure but have been proven to extend the patients life expectancy and improve the quality of life. Apparently these treatments are very expensive. My friend was informed that they don't qualify for the treatment because they are unable to share the cost of treatment.