No, that's definitely not it, because Americans also get terrible value for money in healthcare. They spend so much on it because they're shackled to a profit-driven, shite system.
Just to add, the US budgets more, per capita, for healtcare than any other nation, even countries with a public+insurance-based systems (like Germany and France) and countries with universal systems (Like Norway, Sweden, and Denmark). And that is just state budget, that is not how much each person spends on healthcares, meaning that the US spends more on a less accescible system than universal healthcare, but also less accesible than public+insurance.
Now, we can argue about affordability on scale and geographic influences, but if the entire US market negotiated collectively I would be that a lot of drugs could be bought at lower costs, and that's just for starters.
This will be very long, boring and uninteresting as a response goes because, of course it is, and no, I don't work for the state department.
I am going to propose a response to this by answering it in Part 1
Part 1:
While I agree the insurance companies should be out of the picture, and to my own detriment since I work in healthcare and my city has multiple insurance companies. I don't necessarily want an efficient healthcare system. I want more healthcare if I am sick relative to the rest of the world. Yes, buying the latest iPhone and Swiss Watch is great. But I would rather buy a few more years of my life. Does that mean the current system is great? No. I don't like it because the non-working poor that can't work get Medicaid or Medicare for all old people, which is great; they are really the sickest of the bunch, but then at 30 thousand dollars you get crap healthcare, and until you make like 80k-100K you get okay healthcare. Even the rich aren't served well by this system. If they are smart and develop their knowledge of what treatments work, sure they solve their illness when they get ill. But if they are an idiot like RFK or Steve Jobs on this issue, they get brainworms or die because their doctors are too afraid of speaking truth to power. The American healthcare system stinks because they don't give the right treatment to the right person more than they could.
If I were a policymaker and I am not (not for a lack of somewhat trying), I want Jamaican nurses to immigrate to the US; I want more aggressive immigrants to get jobs they are suited for in US healthcare; I want to have my cake (high quality healthcare) and eat it too (high quantity of healthcare). It stinks for the rest of the world, but it's what the US does. Because yes, there is the UN, the WHO, etc. But the US is the top dog here, and they are attracting the most aggressive, dynamic, and competent people to it. And it would be against US interests to share without anything in return against the current status quo.
Part 2: The solution to better healthcare for the rest of the world.
No one here, including the Americans or most of the world, is going to like my solution for this problem.
Give Americans what they don't want and what your local elites don't want. And let them be in charge as much as possible, and then guilt trip them when they act in selfish fashion, which they may do. The more, the better. You’re not going to get Americans to care about you while pointing missiles at them to threaten Americans is to threaten a country with the most dynamic people on the face of the planet. Good luck with that. The other option is the status quo. More dynamic people go to America, including from countries the US bombed, and have geopolitical contentions with than any other power since the British Empire. It doesn't matter how much land/resources you have (Russia); it doesn't matter if you used to be a regional empire (China, Turkey, Iran, India). How can you beat the Americans? Your best people keep going there to start families. People that you should have cultivated or would have created innovation in your country. Now why did I mention this in a section about healthcare? Because everything is connected. America has great geography, people, institutions, resources, and ideas of how anyone can be an American. Your country won't. It doesn't matter how many nuclear missiles you have; America will find a way through it. It doesn't matter how many people hack electric grids in the US or make the politics more complicated and annoying; Americans will fight through it by increasing social cohesion, which in some instances is a good thing.
Yes, I am going off-topic somewhat, but the problems of lower life expectancy will be fixed. Because it's a bullseye, and Americans love hitting goals like that when defeating the Axis, European powers in the western hemisphere, sticking the Moon Landing, winning the Cold War, revolutionizing agriculture, and are currently winning the nominal GDP growth vs. China.
In fact, if policymakers in the US were more aggressive, they would start depopulating entire dynamic sectors of other countries’ economies even more. But they don't due to wage backlash in the US, so they play a boiling pot game of eating business investment and skilled labor.
Which brings me back to my main point, which is funny enough about money/quality of life but only towards the end. If your undynamic and you stay in your country for family reasons, that makes sense logically; you can't leave your country as a human being. I feel compassion towards that, and I hope you realize your elites are genuinely grifters, selfish people, prideful people, and people who get paid to act like they have a point implement poor policy when they tariff their economies to death, for example. (Ex. Brazil.) If your dynamic and you stay in your country for nationalistic reasons, you are a specialist who is good at their job, but still corruption will be endemic, or at least your country will rely either on the goodwill of the US Navy or you haven't changed in 100 years mostly. Good luck competing against the US. Also, we kicked you out of power because in the international system there is no police, and I don't want you to send missiles towards my allies for your domestic audience of undynamic people, corrupt people, and the few competent people in a sea of non-innovation areas and people just collecting a paycheck, plus your likely spamming my countries created social media companies and my population with spammy messages (Russia, China, Iran, maybe North Korea). Most people and most countries are somewhere in the middle, but that isn't great; it means they don't think critically, rationally, on a cost-benefit analysis, etc. If you can't get to the US and want to, I feel sorry for you, and I wish our policymakers were more aggressive with immigration policy. If your country wants to have better relations with the US, but your idiot paid off, government doesn't (Georgia), I also feel sorry for you. The last point is this: if your dynamic and the cost-benefit analysis is that now and in the future, it's better to be aligned with the Americans or even immigrated to America in the median term, you will make more money, have a better quality of life, and have made the world a better place in your own way by stepping one more step towards a united world where democratic people unbounded by nationalism, authoritarianism, and inefficient 1900s ideologies. A united humanity, so to speak.
So why let America control the world? Because America is going to win no matter what. It's sucking the innovation out of your countries. Unless you wish to be stubborn like North Korea, aggressive but ultimately fruitless like Iran, which is a Morton’s fork that stabs you only. America will win in a system where it's the status quo; alliances win out and everyone comes out against everyone else. The Americans will win if the rest of the world gives the Americans control of their logistics systems; that is true, but they will win less because some of the fruits of being a hyperpower in logistics, warfare, tech, the economy, etc. will go to everyone else, and American policymakers know it.
So why don't some to most Americans want a united humanity despite America having the skills country to do so over the long run? Because many Americans are great at their job and bad at the voting booth, to sum it up. Some may also want to retain the American privilege of American prosperity being confided mainly to America and maybe some of her allies. Some are nationalists who generally think American isolationism was great when it created two world wars, a Cold War and another current Cold War (due to American indecision in Syria, Ukraine, and free trade). Some don't think about politics, despite politicians thinking about them in how Congress and their fellow citizens vote, and yes, it does affect their wallets and sometimes in the short run, and yes, this is bipartisan in every political ideology among those who don't know that their exists power in collective action even if you are the only supporter of an issue. No man is an island, not even the ones who act like it. Again, the reasons are diverse, like America, but I listed a few of the options.
So, since I will eventually get attacked as either naive or uncritical about the US, and every reason under the sun. I will give you my personal perspective. When I was born, I probably had ADHD and schizophrenia-affective bipolar. At least this was my interpretation of my first memory in preschool and how I acted. I was also always sick with something in China. My dad both drank, had bad dental health, and was a smoker, but he was economically aggressive. My mom was economically aggressive too, but while she didn't drink or smoke and even later got my dad to stop it in the US, which my dad did with US nicotine gum. But my mom, and dad didn't graduate middle school, however economic aggressiveness, and dynamism knows no education, so they immigrant to the US due chain migration/family migration due to my even more economically aggressive aunt. They then worked their way up to the American dream of owning their own house. I was the first person in my family to go to college despite have multiple mental illness, and multiple comorbidities, I didn’t get good grades until high school, and I suck at many forms of math like geometry(Yeah I sucked there), algebra 1(I got a B in Algebra 2, Pre-Algebra), calculus(I did get an A in Pre-Calculus), and statistics(My AP test score however was a 4) relative to my high performing peers in my top five percent public school according US news. Also, if I was a millionaire I wouldn’t be posting this often, or semi-dox myself. Also, I translated for my parents and know like 1.5 languages (I know a Chinese dialect that I can’t read or write in). So, while I am not a MIT grad, and I don’t have a STEM degree, I don’t consider myself to be that undynamic unless you talk about my energy levels which I am fixing by researching my illness. Because undynamic people/countries/organizations stand still and don’t fix their problems when they have problems if they can fix them, and people who want to be dynamic do, and people who are already dynamic fixed their problems a long time ago.