The greatest insult of all is that in this great country so many people cannot afford the most basic of medical care. Jesus Christ, my country of origin is the second poorest in the western hemisphere, and the average city dweller has basic medical access more readily available and affordable than his/her American counterpart. How can we explain that????
I call Shenanigans.
I lived in the 2nd poorest nation in the western hemisphere for a couple years doing peace corp work back in the mid-90s, and the average city dweller was still living in half-shanty/half-cinderblock with non-potable water and power tapped off the power grid with strands of barbed wire. They were lucky to bring home more than $10/month (no rent to pay, since everyone "homesteads", and you can eat a "decent" meal out for about 25. Everyone was sick, all of the time, but grew up that way and didn't even know it could be better. Average life expectancy was still under 40.
Yes, you could go to the local clinic with a bag of stool and they would analyze it for $2. You could then even buy some anti-parasitic horse pills (incredibly bitter tasting) to clear out the infection of the week for another $2 or so. But when you're only making $10 a month, you can't afford to that sort of medical attention for something so commonplace as a parasitic infection. You needed to save that money for the big expenses, like when you accidentally whacked your leg with a machete and needed to get to the hospital and get it sown back together again.
The disconnect between our standard of living in the 1st world is so far removed from the bottom, its not even comparable. I had plenty of money while I was there, but we still had to have american doctors flown in anytime someone got really sick. If it was actually something serious, we'd have to fly back to the states to get treatment.
Of course, the average city dweller in that country couldn't get to the US, even illegally. If you were very "rich" you might be able to afford a coyote to smuggle you into LA or Houston, but it would cost you everything you owned, and then you would be here illegally and on the run -- some of my friends went that route, unfortunately. If you were very, very, very rich (i.e. top .1%) you could afford to bribe to local officials enough to get a visa, you could afford the plane tickets, and you afford to immigrate to the US.
Typically, I saw two patterns:
1) Immigrant realizes how expensive the US is, and how hard they'll have to work, and how low they'll be on the totem pole compared to back home. They work for a year or so, amass a "huge" fortune, and then immigrate back where they retire.
2) Immigrant works his butt off and sends home every dime he can spare to eventually bring over his family legally, one at a time.
The only ones I heard of who never came back where the ones who fled as refugees during the wars, and had to cut all ties or die. They typically got some sort of US Government sponsorship when they arrived and so did pretty good, but everyone they know back home is probably dead anyway (I went back a mere 3 years after the fact, and several of my local friends had died during my absence just of "natural" causes/accidents.)
The average joe there would KILL to flip burgers here in the US. And they would live better off that money than they do at home, and with money left over to send home. In one city I lived in, the job everyone was fighting over was to make cigars by hand in the local sweatshop. It payed nearly a $1/day to make cigars from the raw tobacco with your bare hands and tongue. There was a WAITING LIST for people to work there.
Burger King isn't just a step up from that -- its a whole different ladder on a different floor of the building.