I'm sorry to hear that 'America's averages' are brought down by the 'citizens of America'.Are you saying they dont?
We have the most advanced medical staff/hospitals in the world. The problem is that our averages are brought down by the bottom of society.
We dont have the resources to provide that level of care to everyone, so we rank lower in international surveys.
We will never be a nordic Eutopia like some here think can happen. We share a border with an extremely poor country, and encourage the uneducated to migrate here.
I think it is about time we change it to "Give us your smart, your wealthy..."