Well I certainly wouldnt argue that price gouging isnt a factor.. but where int he world you getting those specific numbers?
One would expect if you are unhealthy you will not have the life expectancy of a healthier culture **at any level of spending**. But since people tend to be willing to spend huge amounts of money to get even a few extra days of life it would make sense that people who are hugely unhealthy will spend huge amounts of money to compensate.
You can **always** spend more on your health, and some will go to extremes, but there is diminishing returns at a certain point (which is why people can spend such insane amounts)
Take myself for example, I am spending 10x more for a prescription medication right now simply because its in shortage and im an off-label use so im the first to be dropped. In europe now amount of spending would get you the drug because it would be controlled.. here you have the option to spend money to get special off label compounding done but since your offlabel your off insurance too, so you have to pay a fortune. In europe it wouldnt be cheaper, it just wouldnt be an option.