The common Kool-Aid fed to Americans these days is that they're still #1 in healthcare, education, technology, etc. The reality is that even 3rd world and developing nations have caught up to America over the past 20 years. They're African countries with better healthcare systems. They're Caribbean countries with better education curriculums; simply because their politicians have put these things as top priority. I saw a Republican congressman trying to stupidly convince someone that people from Canada, Sweden, Denmark, etc leave these countries to get healthcare in the US. Clearly he's still living in that "America is that shining light on the Hill" bubble.