I’ve never been a big fan of using life expectancy as a measure against the cost of health care. Life expectancy is a single outcome composed of a whole slew of contributing variables.
eliminate black homicide rates and watch the stats change
Look how high Japan is on that graph, for example. I'd venture to guess that on a per-capita basis, Japanese culture has dramatically lower incidences of almost any social pathology compared to any other industrialized nation.
I don't know if this is still the case, but I remember reading some years ago that the phrase "crack baby" can't even be translated into Japanese.