I've been in Italy and Spain plenty of times. I'm really sorry I offended you, but be serious. The constant sharing of food, kisses on cheeks etc. It's not the main reason, but it plays a part. I love Italy and Spain, but as someone who has lived in Germany... It's really not similar. I don't mean to offend you and there's lots of reasons, but it does affect. Germany has one of the best health care systems too and is 3rd or 4th (depends on which site you check) on a list of countries that has the most old people. Also, Italy has made massive cuts to their health care system and Finnish people are told to fly back to Finland from Spain, because their health care system isn't as good... So please, share your data?