The largest contribution to improving life expectancy is measured by reductions in child mortality. The factors that drove those improvements (infection control, improved hygienic practices, food quality, regulation of food and drug purity, medicine) benefited everyone, but had the biggest impact on the old and young. In the 1850s, 8,000 infants died annually from adulterated milk alone.
I think of my own journey. In 1824, 200 year ago Spooky23 would have died 20 years ago, a half blind cripple. 2024 Spooky23 is healthy with no back issues and god willing a few more decades.