Howdy. I’m a health actuary, and a physician friend of mine is looking for a bit of help with life expectancy for an article he’s working on. I would greatly appreciate a bit of help from a life actuary.
He wants to adjust US life expectancy on this table Actuarial Life Table to be more comparable to that of other countries by removing the effects of between country differences for things like suicide and motor vehicle accidents. He has the probability of dying in the next year from each of the causes he’s interested in, by age and gender for the US and OECD countries.
I would like to get the adjusted life expectancy, but I don’t think it’s a simple thing to calculate from the table and the additional data he has, or is it? Part of me says there’s a selection effect - the people who died in a given year are different from those who didn’t in ways that would affect their expected future lifetime if both had lived. On the other hand, the factors he wants to adjust out, for the most part, reflect differences in cultural factors between the countries, and not health system factors.
I would appreciate any help you can provide regarding how this can be done from the information he has. Or if it cannot be done and there’s not an acceptable estimation procedure, please explain a bit about why it cannot be done. If you have any recommendations for moving forward with this project, that would be great! I consulted the SoA site and all of my actuarial and healthcare books and could not find anything helpful.