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The imbalance trickles from quality of life to stress to the life expectancy of nations. The US isn't even in the top ten. Most Americans aren't even expected to reach the age of 80 because of the conditions they live under in this country. The more stress they encounter trying to find a decent quality of life the harder it will be. The Corporate Healthcare system is broken and this gap between the rich and poor is astoundingly large that the middle class will slip through the huge crack that is forming. They defend the sanity of the establishment as much as they want, but sooner or later they will feel it. Even in 2008 the heir to the Johnson & Johnson fortune made a documentary about how its effecting Americans. Sooner or later they will shut him up and he'll follow suit.