memes

It's because we were a nation founded by violence and oppression and built on the backs of a slave race, none of which are practices we ever truly abandoned.

You have healthcare, affordable schooling, and labor unions because, wherever you are, your populace is considered a workforce, not a slave race. When your society relies on a workforce, you want them healthy so they can work longer, you want them educated so they can work smarter, and you want them comfortable enough with their salaries and their hours to feel they can afford to have kids, who will one day join the workforce.

Governing bodies in the US don't need us healthy, smart, or comfortable. They just need us to 1) work (hence tying our healthcare to our work hours), and 2) breed (hence minimal sex education, poor access to contraception, abortion bans, etc).

They don't need to give us healthcare (or education, or basic human necessities or rights), because as long as we're breeding, it's cheaper if we just die. And if that ever bothers us enough to take to the streets (which it has, many times), our local police forces are highly militarized and have no qualms about doing to us what their white ancestors did to my native and black ones (which they have, many times).

And to be clear, this isn't meant to be a woe-is-America spiel. These are problems that we've had many opportunities to address over the years, but let hubris, bigotry, and plain old stupidity get in the way. This is very much a mess of our own making, so I'm not trying to throw a pity party, just addressing your confusion.

TL;DR: Violence, oppression, and slavery. The tried and true American way.