Earlier quoted context omitted.
Right, our life expectancy is shorter because of life choices, so it can't tell us anything about healthcare quality.
Lack of accessible healthcare and medical bankruptcy as one of the primary drivers of financial failure and old age poverty is not life choices. Gun death as a leading cause of youth deaths is not life choices. PFAS exposure is not life choices. A medical system that allows advertisement and more or less open bribery leading to an opioid crisis that’s killing enough people to bring down life expectancy across the mid…
Many of these are actually life choices. American addiction to guns tells us nothing about healthcare quality. Either way, I'm not saying our healthcare quality is better than other countries, I'm just saying you can't say it's worse by just looking at life expectancy because of confounders.