You're over thinking it.
Americans are just fatter.
Americans are just fatter.
Is your theory that demand is higher in the US and that's why the prices are higher?
I don't see any reason to think that would be the case for a product that is very easy to transport globally. That is, absent other effects, like regulation and the differences between how insurance works in different places, I think this would be a global market with prices driven by global demand.