Working for an avian vet, I can assure you that not all birds who appear healthy, even with a thorough physical exam by a board certified avian vet, are. We recommend routine bloodwork (a complete blood count and a basic chemistry panel that checks liver and kidney function) for all birds because we have found a significant percentage of birds who were normal on a physical exam to have some underlying health issue that showed up on the bloodwork. We also require pre-operative bloodwork for all surgeries on the mammals we see because while it is uncommon we have found significant disease in young (less than a year old) animals that seemed completely normal and healthy on physical exam (for example, we have had two puppies in the past three years who came in for a routine spay and were found to be in kidney failure, most likely due to a genetic defect). I would also point out that people are not always as observant as they think they are. While it is extreme, we have several cases a year of birds who come in for an exam because they "aren't doing right" or just seem a little off and on physical exam we find that they are literally starving (in one case the bird was almost dead from hypoglycemia!) or have some other health issue that is obvious to us but not the owner. It's not that the owners don't care about their birds or don't spend any time with them, but they just didn't notice the oh-so-subtle signs. Like Olive Hill said, just because someone says their birds are "healthy and happy" doesn't necessarily mean that they are, just that they didn't notice anything that would indicate otherwise.
I would also like to point out that an individual flock's mortality rate might or might not mean anything. I only have 7 birds, if just one dies that's 14% of my flock! Someone who has 100 birds looses one bird, that's only a 1% mortality rate. It doesn't mean that I actually have more mortality in my flock, only that I have fewer birds to loose (since the smallest loss I could possibly have is 14%).