The way they raise kids in NA was one of the cultural shocks for us. 6yo kids in strollers. Parents never walk with their babies outside. Well, baby pram is not even a thing here. Diapers until age of 3 or 4. Overall hygiene/cleanness doesn't exist. It's ok to pour frootloops in a dirty tray and let the child eat it with their dirty hands. Kids' clothes are forever dirty. It's ok to send your kid to school/daycare with holes in their socks. School assembly? Let kids sit on the gym floor for an hour. Field trip - kids sit on the ground.
I'm not surprised society is so mentally unwell here.