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I would take that with a grain of salt, since the study here says it only deals with death inside of the hospital (which is what is expected of a system encouraging the individual to flee the expensive place as soon as possible):

Considering the markedly lower length of stay in U.S. hospitals, it seems likely that more deaths following AMI occur after hospital discharge in the U.S., compared to Germany. This assumption is supported by recent OECD publications, which also report U.S. 30-day AMI mortality based on linked data. This figure was at 9.3% in the year 2020, compared to 4.9% when based on unlinked data. For Germany, national 30-day AMI mortality figures based on linked data are not available to date. In other industrialized countries reporting both figures, the difference between mortality based on unlinked data and mortality based on linked data was not as pronounced as in the U.S. (e.g., 5.6% vs. 7.2% in France, 6.5% vs. 7.1% in Spain)

In addition, the median age of patients is quite a lot higher, and as we all know, we all die at some time. If i am in my 50s and have a heart attack, sign me up for a German hospital 100% of the time, at least i am not bankrupted afterwards if i survive.

There is just one small flaw: this study only had a look at people that made it alive to the hospital.

Also, as the study said in noumorus places, whilefor Germany, full statistics where available, the USA data is more hit and miss, and therefore not as granular as German data.

While it is true that Germany has one of the worst life expectancies in western Europe, this is attributed more to our style of live then our health care system.

Ambulance waiting times cost lives.

That is a proven fact.