Absolutely true! The US has a very different population density environment from the UK and most of Europe. Just to visit the nearest metropolitan city from my US home is at least a six hour round trip by public transport. It's only 60 miles away. When I lived in the UK I was about 45 miles from the center of London and could travel to/from work there in under 3 hours round trip. I only needed to do that for work, the health and other services were all within a few miles. In the US, the only practical eplilepsy clinic I can attend is the six hour round trip to the nearest metro hospital, an eight or nine hour day including the time in the hospital. Without exhorbitant government investment the US couldn't create truly practical public transport for most states. In the UK, I lived in a two or three bedroom house but there was probably nowhere in the house that was more than 25 feet from the indoors of the neighbor's home on either side (high population density). In the US, every indoor position in even my modest five bedroom home (where I live alone) is probably no closer than 40 feet from the indoors of neighboring homes (low population density). There are miles of open land between cities (towns) between me and the nearest metropolitan city. Which is also the only metropolitan city in a state that is about 85000 square miles (about 220000 km squared). The area of the state is 93% of the area of the UK and has one metropolitan city. The population of the US is about 340 million in 50 states, most of which are nearly as big as the UK which has a population of about 70 million. Or, 340 million people in about 380 million square miles in the US, so a little under one person per-square mile. In the UK, it's 70 million people in about 95 thousand square miles, or 735 people per-square mile. On a cost basis alone, public transport works really well in the UK. Pickup trucks work much better on a cost basis in the US, honestly. Obviously there are huge metropolitan areas in the US with better public transport than I have but they are truly tiny islands of the country as a whole. Equally, obviously there are very isolated rural areas in the UK but they too are truly tiny islands of the country as a whole and it's easy for nearby higher density population areas to subsidise publilc transport through the truly rural areas. That's just not practical without exhorbitant government underwriting of it in the US.