I'm not sure. I don't think anyone knows for sure, but obesity probably heavily factors into it.
53% of Europeans are overweight or obese. The same figure in the US is 72%. That's a 36% difference.
More than that, 17% of Europeans are obese (BMI >30) compared to the US's 42%.
The fact that the US has a life expectancy of 79.1 compared to the EU's 81.5 years with that kind of difference in obesity levels is actually surprising. You would expect it to be lower than that in the US.
> compared to the EU's 81.5 years with that kind of difference in obesity levels is actually surprising
It's probably considerable higher in EU15 i.e. if we exclude all the poor (currently or previously) ex-socialist Central and Eastern European countries that have a lot of baggage
Worse in some ways, better in others. The USA generally has higher 5-year cancer survival rates, and shorter waits for specialist visits and advanced imaging procedures. Of course there's a high variance in outcomes based on location and affluence.
> shorter waits for specialist visits and advanced imaging procedures
Those are not health outcomes, but merely services KPAs. The KPAs may be better, because a portion of population can't afford the services, so they don't have to be serviced at all.