Agreed, the change is much less significant. Yet I was surprised that healthcare outcomes continued to improve during this time. Life expectancy has grown by al

Agreed, the change is much less significant. Yet I was surprised that healthcare outcomes continued to improve during this time. Life expectancy has grown by almost 4 years since the 1990s, that's absolutely not insignificant. And there's good reason to believe that healthcare interventions have strongly improved, but that baseline health is much worse. Even stable healthcare outcomes would, if this is true, be evidence for interventions having improved. If you look at obesity levels for example (just google the charts), they're absolutely ridiculous and create a much larger burden (and cost) on healthcare interventions for the same outcome (e.g. life expectancy). The corollary is of course also true, which is that healthcare has improved due to many interventions not typically financed through healthcare costs / insurance. e.g. public health campaigns to stop smoking.