I used to live in Romania where hospitals are full of deadly bacteria, doctors are corrupt, nurses are corrupt. There's a shortage of equipment, vaccines, cancer treatment, important medicine, you name it. There is no place in the country to treat a seriously burned man, they all die. Obviously, lifespan here is shorter than in the US by about 4-5 years.
I suspect it isn't.
You didn't tell us how human are all those corrupt nurses and doctors? Maybe they offer first-rate compassion and spiritual support, once they pocketed their bribe?
People die everywhere, and even in poor countries people not always die because of shortages of equipment and treatments... hope in Romania terminal patients are accompanied to death with all due compassion -- this has no material costs that only 1st world can afford.