I'm not afpx, but I understood them to be saying "you have fewer good days when you're 50 than when you're 18." That is, health wise, it's better to be 18 than to be 50. :)
A related concept is the quality-adjusted life year (QALY), which is used when weighing the cost/benefits of certain interventions.
[1]: https://en.wikipedia.org/wiki/Quality-adjusted_life_year