The US is huge and diverse, so much so that ranking it as a whole really isn't fair. Yeah there are the same federal departments, programs, and laws, but heck,

The US is huge and diverse, so much so that ranking it as a whole really isn't fair. Yeah there are the same federal departments, programs, and laws, but heck, even how they're enforced and handled varies by state and region. You have to rank states or regions, like urban northeast and Bay Area vs pacific northwest vs rural deep South vs Alaska. I will say that some rural areas in the US really do resemble third-world countries, examples are Indian reservations and places in southern states like Ohio. They have dirt roads, poor water quality, rampant town council and police corruption, huge proportion of the population seriously uneducated. These places still have federal services like food stamps and healthcare, and moving to another place in the US as a "refugee" is significantly easier, so maybe it's still not fair to compare them to actual third-world countries. But even people who live in the US and have seen "poor neighborhoods" would be shocked. EDIT: And I know that even places like India have big cities, and places like the Netherlands have urban and rural areas. But the US is even more diverse. The rural areas in Massachusetts are a lot different than those in North Carolina.