I suspect with no evidence to support that some of this may be related to people dying of other things instead on cancer such as heart disease, etc. Another interesting fact is if you look at US deaths, fewer die between the age of 60 and 80 than before and after. Seems like if you can make it to sixty you'll die of old age or some random cancer.
Medicaid kicks in at age 65. I suspect that people over 65 get disproportionately more funding which is why the US does well with people over that age.