I share so many of your views.

It never ceases to amaze me how the richest economy in the world can so fail its most vulnerable citizens. In the UK, you always get drugs, free if you are unable to pay, other European countries have much better social services (France, northern Scandinavia), so in that respect Carey that element of PD is an American problem in the context of the developed economies.

America is the richest economy and the world's only superpower and the powerhouse of scientific advance. My perception as an outsider is that as long as you are fit and working there is no better place to live. God help you if you are neither of these things though.

Neil.