One problem with US data is that anybody they count in America they label as 'Americans'. This will include millions of migrants who arrive here and sign up for Medicaid and SSI and other government program giveaways.

But millions of those people are not Americans and arrive here already in a sorry state, contributing to the trailing stats.

Here in Seattle there are shitloads of immigrants living off the system and because this is a santuary city/state they are considered residents, i.e. regular Americans. Many of them came here in poor health and then brought along their 6 dependent children and ailing parents who are all on the dole.

Plus the drug addicts are really taking a toll on this country.