How do we measure this? Quality of health care available for MC today as opposed to 30 years ago? Quality of education? Home affordability? Cost of living?

How do we measure this? Quality of health care available for MC today as opposed to 30 years ago? Quality of education? Home affordability? Cost of living? I thought in the US all these had declined in the last 30 years (in adjusted terms) - i dont know if outsourcing is what caused it though.