Why Don’t Americans Understand How Poor Their Lives Are?

American exceptionalism isn't a myth, it's a thing. But it has both positive and negative side effects. The positive side effects are a big reason why America still dominates the computer science world - empowering individuals results in innovation, freedom to experiment, freedom to fail (this in particular is lacking in the rest of the world) and freedom to chart your own path. Obviously, this is a range, it's not a binary switch, but over and over, I consistantly see American engineers take risks and try things that their foreign counterparts don't often do. Of course, as with everything, individuals differ, but opportunity exists here. This matters - Americans routinely identify as happier, less prone to suicide, and have higher productivity.

The second factor that this author seems blind to is that the rest of the world has become more and more American - not just western, but American. This is often sad, the difference between walking down Sukhumvit in Bangkok even five years ago - with the tuk-tuks and ethnic celebrations and baht's in the pocket - versus listening to rap, catching a uber from the airport, and using your US credit card is pronounced. But in general, Americanization (under the name globalization) has resulted world wide in a world that is kinder, more inclusive, more humane, less people dying of war & starvation etc. There is a result of the post-war strategy that American embraced and led the world on (and is now turning it's back on with Trump). The fact that Europe can focus on it's own prosperity and not the never-ending regional conflicts is built on Winston Churchill's call for "A united states of Europe" and the security of NATO.

Now are there things that should be much better then they are? Obviously yes. Health care is a obvious one. But again, that also ignores the fact that Americans are basically fronting the R&D cost for almost all of the world right now. We have to improve this. We have to improve income disparity, but without going through the devesation that collectivist systems can impose. We have to relearn how to compromise, and return to the first principles of democracy. But this article is mostly the typical European-exceptionalism ;-)

It was just an example, but it's pretty clear that costs would be cut.

>We’d have to ration care and implement price controls. Who knows if that is even politically viable.

We already ration care, we just do it by how much money you have. Price controls? Pretty politically viable, just march some affected people up on stage. Hell you don't even need price controls, just make overseas drug importing legal. Right now we're a totally captive market, that's why they charge so much.

>And even we could reduce it by half, the only politically viable method of funding is a highly progressive tax.

Okay? Sounds fine to me.

>People on hacker news would likely pay 20k a year and the average person would pay 2,500 or less.

I mean that's how progressive taxes work and I don't have a problem with it, although your numbers are obviously pulled straight from your ass.

Many of the promises Trump made were absurd, irrational and couldn't reasonably be delivered on, and Trump himself was the easiest candidate to read in recent American political history. Voters being unwilling to exercise their power judiciously isn't the same as them having no real power to exercise.