If it has no physiological effect except aging me at my subjective time (i.e. 16 years pass on the calendar, but I've been awake as much as most people are in 22 years, and my body is 22 years older rather than 16) then it doesn't matter whether I'm on it or not.
Incorrect, because you've only gotten the benefit of 16 years of medical advancement, rather than 22 years of medical advancement. This alone may overwhelm all other differences.
And then there are other time-dependent things, like compounding interest/returns.
I recently recalled, apropos of the intermittent fasting/caloric restriction discussion, a very good blog post on mortality curves and models of aging:
gravityandlevity then discusses some simple models of aging and the statistical characters they have which do not match Gompertz's law:
What models do yield a Gompertz curve? gravityandlevity describes a simple 'cops and robbers' model (which I like to think of as 'antibodies and cancers'):
This offers food for thought about various anti-aging strategies. For example, given the superexponential growth in mortality, if we had a magic medical treatment that could cut your mortality risk in half but didn't affect the growth of said risk, then that would buy you very little late in life, but might extend life by decades if administered at a very young age.