"significantly lower MRs over the age of 40, due primarily to lower rates of cancer (MR = 0.44, age 40-69), and cardiovascular diseases (MR = 0.65, age 40-69)"
As they said, cause differs. When looking at costs, causes are very important. Things like cancer and cardiovascular diseases tend to cost a lot of money to treat as they drag on. If you die young in an accident, it's likely to cost less.
Some of these disorders are quite rare, or unique, and are serious enough to increase the mortality rate among Amish children.
I criticized the practice of inbreeding in my first comment.
Rates of many chronic diseases are lower.
Amish males had ...significantly lower MRs over the age of 40, due primarily to lower rates of cancer (MR = 0.44, age 40-69), and cardiovascular diseases (MR = 0.65, age 40-69).
Also, mortality rates and costs are not synonyms.
The men over 40 subset of population has slightly lower mortality and no one else. The numbers even out.
That is not consistent with "healthier lifestyle overall" as if they generally got benefits.
Also you: Amish females MRs for all causes of death were lower from age 10-39, not different from 40-69, and higher over age 69.
Women only "got more issues as their aged" after age 69. Before that, they were either better off or about the same. This also agrees with the point the parent comment was making that they generally have healthy lifestyles and don't go into long-term care facilities in old age. Instead, they accept death when the time comes.
69 years old women are not in the long term facilities for that matter eitminor Nor are men. In UK, 66 years old is retirement age. This is age when strength and health declines, but nowhere near the level necessary to be in some kind of facility. These are self sufficient people, able to care about themselves, able to care about relatives or animals.
None of that are numbers that overall superior healthier lifestyle. Just a minor shifts around.
Part of the confusion is that you are conflating mortality with health.
> Amish mortality patterns were not systematically higher or lower than those of the non-Amish, but differed by age, sex, and cause. Amish males had slightly higher all-cause MRs as children and significantly lower MRs over the age of 40, due primarily to lower rates of cancer (MR = 0.44, age 40-69), and cardiovascular diseases (MR = 0.65, age 40-69). Amish females MRs for all causes of death were lower from age 10-39, not different from 40-69, and higher over age 69. https://pubmed.ncbi.nlm.nih.gov/7315833/
And "English" by which I assume you mean Americans don't have infinite