Because we have morbidly obese, diabetic niggers, mexicans and white trash. Because while Japan is an ethno state for the Japanese, America is full of the world's trashiest people, not to mention our own mentally ill hoardes. Unfortunately, we no longer have a healthy, European, 1st world populace, instead we have a growing brown mass of foul anthropoids. Were that not the case, sure, we could probably have universal health care too.