> Could it be because the American health care system makes it difficult to impossible for millions to afford the care, treatment, or support they need? That w

> Could it be because the American health care system makes it difficult to impossible for millions to afford the care, treatment, or support they need? That was my first thought. Other thoughts that followed: It's actually pretty hard in much of the US to eat healthy food, particularly if you're poor. Our car-dependent culture discourages physical fitness. Our standard of living ranks, at best, 8th in the world.