The decreasing life expectancy in the US is probably, ahem, largely attributed to a medical system that is not particularly well-optimized for boosting mass life expectancy (despite being world-class in absolute quality of care, I assume).
If you look closely, past decades have brought immense breakthroughs such as
- the first completely synthetic new antibiotic
- dramatic improvements in spatial and temporal resolution of imaging systems (MRI, PET etc.)
- actually useful robotic assistance for surgery
- easy, simple, and widespread techniques that are nevertheless life-saving, including a broad awareness for important events such as cardiac arrest and stroke
- much better, faster and more accurate laboratory work, down to the DNA level
And that's only a fraction of it which a layman such as myself can come up with from the top of my head!
And then you mention life expectancy, which is quantity of life.