There are a bunch of factors at play. Off the top of my head:
No other supposedly civilized country has a population of several dozen million niggers who keep killing each other.
No other supposedly civilized country has huge areas where you're more than an hour from the nearest hospital. When you get injured in the Netherlands, an ambulance can be at your location in 10 minutes. When you get injured in Bumfuck Nowhere, Kentucky, there's a good chance noone will find you till a week after you bleed to death.
There are a bunch of factors at play. Off the top of my head: