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The United States of America claims to be a first world nation, but is it really? They're the only western nation to execute people. You can only have health care if you can afford health insurance or afford to pay for treatment out of your own pocket. The same goes for justice and higher education. Everyone gets taxed at the same rate, regardless of whether they earn £10,000 or £1,000,000 dollars a year. There's also people living there in desparate poverty. Add to this.
America still seems to have a real race problem, with blacks, gays and non-Christian religions treated as 2nd class citizens in the deep south. Also, the right to own an assault rifle seems to over ride the safety of the nation's school children. They tried to use a terrorist extradition treaty to extradite Asperger's sufferer Gary McKinnon to the states to face terrorism charges, merely for his misguided attempt to look for little green men. There's also the debacle of Guantanemo Bay.
First world nation? I don't think so.
When you take all of this in to account it would appear that America is a 2nd world nation at the best