Some example we are

Even as late as this year, I've heard references to Reagan's "shining city on a hill" aspiration for US hegemony. Somerwhere, though, it turned into more of a stinking city in a lake. The UN has taken notice in its Human Development Report.

To give you an idea:

Key US health indicators are far below those that might be anticipated on the basis of national wealth. Infant mortality trends are especially troublesome. Since 2000 a half century of sustained decline in infant death rates first slowed and then reversed. The infant mortality rate is now higher for the United States than for many other industrial countries. Malaysia—a country with an average income one-quarter that of the United States—has achieved the same infant mortality rate as the United States...

More than in any other major industrial country the cost of treatment is a major barrier to access in the United States. Over 40% of the uninsured do not have a regular place to receive medical treatment when they are sick, and more than a third say that they or someone in their family went without needed medical care, including recommended treatments or prescription drugs, in the last year because of cost.