The US lives around the car. I can go by walk nearly anywhere in 70-80 km^2 or by cheap public transport, and then walk a little towards the destination. Also,

The US lives around the car. I can go by walk nearly anywhere in 70-80 km^2 or by cheap public transport, and then walk a little towards the destination. Also, the food regulations are many times more strict. Tons of food from the US is not legal in Europe. On top of that, you place corn syrup everywhere. That leads to really bad health. Public healthcare helps a lot, too. You can have top tier treatments, but when the odds or getting a cancer/diabetus are far lower here, we won't need them until very late in life. And, still, living up to 80, 85 or 90 years it's a great achievement. Finally, insuline here is not a luxury item, but a basic need which saves the state TONS of money on further treatments.