David Cross: Why America Sucks at Everything - YouTube

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America is the greatest country on Earth!
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The strongest,
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the richest,
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the most powerful country on Earth.
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As an American, I'm sure you've heard that
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roughly 135 times a year.
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235 if you go to public school
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335 if you go to a christian academy
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We're told that Americans have the best lives
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of any people in the world.
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That we have low taxes,
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small government,
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and the highest living standards on Earth.
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And, most inaccurately, that we're the freest.
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Well it is partly true,
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America is the richest country,
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not just in the world, but in the history of the world.
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It's really hard to聽comprehend聽just how rich we are.
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We have 18 million people who are millionaires.
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American households own about 100 trillion dollars
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in wealth, an almost unthinkable amount of money
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Okay, so America is the richest country ever
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but there's a curious paradox.
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most Americans actually have a much worse
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standard of living than people who live
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in poorer countries like
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Germany, or Finland, or Britain.
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But how can that be?
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That shouldn't make any sense.
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Well, here's the shitty deal.
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Americans get significantly worse services
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because our tax dollars don't fund them.
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So of course our services are worse
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and thus, we enjoy less happy lives than
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people who live in the aforementioned countries.
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Not that difficult a concept to conceive, really.
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"You get what you pay for!" said the cartoon dog
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to the other cartoon dog.
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And while you might think the reason American
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tax dollars don't fund as many services
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is because we pay lower taxes than other countries
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that's not even true!
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When you add federal,聽 state,聽local, and sales taxes and
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include other costs and聽services聽that our taxes don't cover
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but other countries taxes do,
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like our uniquely high health insurance premiums,
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you'll find that Americans actually give away
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MORE of their wages than聽most聽of the developed world.
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For example,
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in Canada, for a married worker with two kids,
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all the previously mentioned costs combined,
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from taxes to health insurance premiums,
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make up only 11 of the average wage
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in the uk it's just about 26%.
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Meanwhile, once you tack on the cost of
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our outlandish health insurance premiums,
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you're spending a whopping 43% of your paycheck
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that's more than France Finland Sweden and Norway.
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In real reality, Americans keep much less of
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what we own than in other countries.
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In other countries,
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their government takes a bit more tax
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but then gives that money back to their citizens
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in the form of health care,
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or job support,
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or a general safety net for
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all vulnerable citizens,
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no matter how dusky they are.
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So what do Americans get for the money we pay in?
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Well sure, we get
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a crumbling infrastructure,
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shameful homelessness,
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and millions of hungry, neglected children
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BUT we also get some of the worst services in
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the developed world.
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Again, our healthcare.
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American healthcare聽 is聽simultaneously the most expensive,
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the least efficient,
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and the least effective healthcare system in
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the developed world.
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He-hey! The devil's trifecta.
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and in exchange for this extremely expensive,
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inefficient healthcare system, what do we get?
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Well we get some of the worst health outcomes
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in the developed world.
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We have fewer hospital beds per capita
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than people in Turkey or Brunei
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americans have a lower life expectancy than
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people in Lebanon or Cuba
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and in the Mississippi聽Delta,聽 and much of Appalachia?
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Life expectancy is lower than in Bangladesh.
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In fact, in 2017, the United Nations sent
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a commissioner to West Virginia to document
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what he saw and he described
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"third world conditions聽of absolute poverty."
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We even have a higher infant mortality rate
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than people in Russia and Serbia.
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In every single metric, America does worse
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across the board.
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So why is healthcare so expensive?
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Because it's so complicated.
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You have to look for in-network physicians,
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schedule an established care appointment,
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beg for coverage from your insurance company
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that couldn't care less about you,
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and that's if you're lucky聽enough聽 to have good insurance!
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Compare that to Britain, and all of those other
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evil socialist-like countries
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where it's simple:
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public hospitals provide聽 free聽treatment to people who need it.
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That's it
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I'll repeat that.
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Public hospitals provide聽 free聽treatment to people who need it.
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And here's the best part:
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even though britain offers health care for free
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their system is actually a lot cheaper to run
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than ours.
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Per capita healthcare聽spending in the U.S. is almost
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three times what it is in Britain,
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and almost five times what Canadians spend.
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In fact Americans spend the most per person
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of any country in the world for health care.
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"But the free market is more efficient" you screech.
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But in America, private systems聽often aren't efficient at all
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private drug companies have an incentive to
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charge whatever they can get聽away with for pharmaceuticals.
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In Canada, a carton of insulin costs about 20 bucks.
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In the U.S. it costs 300 bucks.
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And with private insurance聽companies footing the bill,
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hospitals have an incentive to get as much money
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out of patients as possible too.
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In 2015 the average cost of an mri scan
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in the U.S. was $1119.
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But it was only $215 in Australia.
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Spain? About 181 bucks.
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And our health care system is so inefficient
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that we spend over a third of聽our costs on-
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administration.
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The United States spends significantly more
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on administration than we spend on preventative
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or long-term health care.
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That's just not smart
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"Okay, we get it. We all know聽that American health care
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is so much more expensive," you say.
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"But that's the cost of having the freest freedom
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in God's favorite country!"
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Well... guess what?
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Medical procedures聽that are totally free in Britain,
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like giving birth,
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cost tens of thousands聽of dollars in the United States.
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I mean you want to talk about the cost of freedom.
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Sadly, because of these high costs,
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Americans often avoid going to the doctor,
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something almost half the population say they do.
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with shoddy or聽non-existent health insurance,
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Americans will wait until their聽conditions force them into
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the emergency room, where treatment is
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far more expensive.
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Again, not a smart system.
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Quite often, they end up putting聽off medical visits and dying.
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Susan Finley, a 53 year old聽Walmart employee in Colorado,
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got pneumonia and took one day off of work
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beyond what Walmart's policy allows.
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So of course, Walmart's going to Walmart
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which they did, by firing her.
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Without her job she lost her nominal health care coverage,
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she struggled to find new work,
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and after avoiding a visit to the doctor for
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flu-like symptoms, she was聽found dead in her apartment.
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When Americans do manage to get treated,
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they frequently can't afford it.
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Simple, life-saving treatments can cost
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tens or hundreds of thousands of dollars and
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if they don't have really good insurance
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they're forced to take on medical debt.
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Tens of millions of Americans owe medical debt,
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often into the tens of thousands of dollars.
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Meanwhile in a country like Britain or Norway,
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Medical debt is almost unheard of.
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But hey, that's why GoFundMe is such a critical
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component of American health care.
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One in three GoFundMe campaigns聽is now for medical bills.
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I'll repeat that,
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one in three GoFundMe campaigns聽 is now for medical bills.
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America is such a strong,聽powerful, rich, and great country
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that its citizens have to聽beg strangers on the internet
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for money so they can get life-saving treatments
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that are FREE in the rest of the developed world.
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But hey, that's just healthcare.
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Americans get terrible deals wherever you look.
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Let's take work, for example.
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Americans work longer hours than people in
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any other rich country in the world,
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and that's not because they聽enjoy sleep deprivation
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and not seeing their families for days at a time.
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It's because they don't want聽to starve, or freeze, or die.
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See, America has the least聽generous job support programs,
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the least generous family benefits,
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and the least generous unemployment benefits
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of any wealthy country.
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It's one of the only countries on Earth
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that doesn't guarantee paid time off for vacations.
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It doesn't even help provide聽paid time off for parents
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who JUST had a child.
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And it's not coincidental that we're also
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one of the most hostile聽countries to workers rights.
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America has one of the lowest unionization rates
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in the entire world.
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Maybe this deprivation, our refusal to give people
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the means to lead a good, dignified life, commensurate
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with how rich our country is,
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can explain a bit of what we've seen in the United States
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over the last few decades.
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Fraying communities,
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rising rates of depression and suicide,
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huge numbers of deaths from drug overdoses.
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These so-called "deaths of despair,"
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suicide,
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drug overdoses,
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alcoholic liver disease,
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they're one big reason why聽American life expectancy
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has actually started to聽 decline over the last few years.
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And with such poor conditions, it's not a surprise
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that poverty is so rampant in the United States.
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America devotes a smaller percentage of
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spending on social welfare than any other
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industrialized economy because,
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say it with me,
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socialism is evil.
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It's evil!
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Go to Denmark and try telling those
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happy, healthy families聽enjoying their paid vacation
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that their system of government is evil.
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Guess what?
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I guarantee they'll聽know you're an American
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But I digress,
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America also has the highest rate of child poverty
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of any developed country,聽and the highest percentage
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of workers earning significantly less than
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the national median income.
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THAT seems pretty evil to me.
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Especially since such a tiny fraction
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take as much of your money from themselves
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and their families as you will let them.
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All the while both parties smile
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and shake hands.
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Across every single metric,
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no people accept a worse deal than Americans today.
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high taxes,
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high costs of living,
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for next to nothing in return from the government.
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The most expensive health care system,
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for the worst health outcomes.
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More money taken from workers,
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for the highest rate of child poverty.
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We are the richest country聽in the history of the world,
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but we have fewer miles of聽high-speed rail than Uzbekistan.
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We are the greatest country in the world,
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yet we have the most people聽in prison of any country
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and the highest incarceration rate as well.
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And a higher rate of police聽killings than in Angola, and Sudan.
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America is bad at everything because
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instead of choosing to make life better
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for people,
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through a public health care system or
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more generous child care policies,
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or better public transit,
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or programs that allow people to
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spend more time with their families,
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American law is designed and crafted
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to protect a class of聽parasitical middleman industries.
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Instead of using a proportionally tiny piece
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of the massive amount of聽the wealth in this country
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to make people's lives healthier and happier.
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Most of our elected leaders are,
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and have been for generations,
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engaged in a massive project of
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looting.
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Gently and lovingly guiding as much money as possible
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from working people into the
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pockets of the well-connected and the ultra-rich.
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Think about that as we start hearing about
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the inevitable rise in
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homelessness,
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poverty,
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starvation,
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and sickness that will occur during
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these coming months and years
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in the greatest,
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strongest,
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richest,
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most powerful country
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on the face of the Earth
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I'm David Cross, for the Gravel Institute.
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