For example, how many people get coronary heart disease, and how many years of their work would be needed to pay for a bypass or stent or even open heart surgery? I assume these surgeries cost hundreds of thousands of dollars. Plus the ongoing costs after that. Same with effects of diabetes and hypertension, which might as well effect everyone.
Of course, there is liability, patents, licensing costs, etc that can be changed.
On the other hand, if you drink and drive while young and healthy, you can helpfully donate your organs to someone with a terrible condition and they can run up potentially a few million dollars in health care.
https://data.oecd.org/conversion/purchasing-power-parities-p...
This has India at 23:1 for USA.
An extremely simplistic analysis would say assuming that conversion factor holds true for all costs, you are “spending” $100,000 dollars of US value when you spend $4300 USD in India.
B. I have trouble believing this analysis is really looking at the whole picture.
One of the costs of illness that is frequently cited is lost productivity. You are going to tell me that when people live longer, all of them are merely running up more medical bills without also working additional years to help cover those costs?