I'm not a fan of regimes that concentrate religious minorities in camps, enforce an ideological form of social engineering through "social credit", harvest organs on an industrial scale, or disappear people for having views out of step with dear leader Winnie the Pooh. Rather, I feel a profound sense of disappointment at the sight of an America that used to move mountains and earth to improve the human condition, and, at a time of historically unprecedented aggregate wealth, productivity, and technological advancement, finds itself unable or unwilling to commit itself to the sorts of enterprises that less fortunate nations have no problem undertaking.
This is partially because the improvements you mention come from the private sector while the things that you miss usually done by government (at the very least the framework). US has a long history of crony capitalism or corporatism and as a result no real general public health care, public transportation and so on. It also does not help that different states have different regulations in many cases.
