Earlier quoted context omitted.
> the running water, flushing toilets, electricity, inspected produce, guaranteed emergency room health care You're still missing the point. You emphasize guaranteed emergency care, but what about general non-emergency healthcare costs in America? If it's +1 for guaranteed healthcare in America, it's +1 for India when you can actually practically afford some life-saving x-ray or some surgery operation that costs lite…
The life expectancy in India is 65.5 years. Less than 3% of Indian townships are served by water treatment plants.
To be clear, I'm not advocating here that hey if you're in poverty here might as well leave the country, I'm saying if things are not working out spectacularly, you're stuck with a dead-end job (or are having trouble finding employment despite a degree), and you are adventurous/wouldn't mind a big cultural change, you can think about it carefully and plan things out and you'll be fine. Getting out of America for a better life is a very real and viable option in this day for some people.