Some of them are, yes indeed. The US dominates the world top-20. The US has lots of the world's best hospitals too, and few would claim it has the world's best

Some of them are, yes indeed. The US dominates the world top-20. The US has lots of the world's best hospitals too, and few would claim it has the world's best health care system. I'm very happy the extremely good places exist, but I'm sad about crazy student debt and crappy for-profit universities.