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The lowest rates are in central Africa, places where Cold War uranium was sourced from mines worked by humans with no real protection, etc.

Are the low rates due to healthy living, poor diagnostics, or dying of [other] before the cancer scores a mortality?

The poorest countries are likely exception cases; compare middle- and high-income countries and there are still odd differences to be observed

Sure - I absolutely agree, Europe, Australia, Canada, the US et al all have excellent medical systems wrt those countries termed "the Global South".

Perhaps in poor healthcare locales the death certificate just says "dead". Some people might not see a doctor at any stage of the disease.

You might be able to claim that for some countries, but all European data should be reliable, all countries have reasonably good cause of death recording.

I'm not sure any European healthcare system rates as terrible, compared to the global average.

This data doesn't seem to have much to do with deaths though, unless there is something on the page I'm missing?