Idk my family in the Phillipines can literally just build a shack near a city with jobs no permits or anything, then carry your kids 5 up on a moped without being hassled by cops. I took a family member to the ER and only charge was $5 worth of pesos for meds (granted if I hadn't paid they'd have got absolutely nothing, but at least it was cheap) , no other charges.

Building a shack with nothing but bamboo and no paperwork in US is illegal almost everywhere, transporting kids this way would get you pulled over, and you spend a fortune to get healthcare to the point of getting Phillipines tier healthcare.

Nominally we're richer, with the freedom to have cops bring violence to us if we're not and we try to keep our unpermitted urban shack. It feels like you have to earn a fortune in the USA to do the things poor countries almost take for granted.