Stephan:   In the United States, as a culture, we have only one social priority: profit. As a result instead of a health care system, we have an illness profit system. And in our college education system, unique amongst the developed nations of the world, we have people in their sixties still with five-figure student debt. Did you know there are people near or after retirement with that kind of student debt? I didn't. When I went to the University of Virginia as part of an honors program called Echols scholars, my family paid $476 a year for my tuition. In the 1970s when my daughter Katherine went to the University of California - Santa Cruz, in her own honors program, I paid about $4,600.  Today, at a public four-year college (for in-state students) the average is $9,410, while for out-of-state students it is $23,890. For a private four-year college the average is $32,410, more than some families total income for a year, where the necessary living family income across the U.S. is $67,690. There are all sorts of social outcome effects that arise from America's profit-based college system. First, of course,  is the debilitating debt itself. Second, a profit-based college system means many who would like to go to college don't have the means to do so, because they can't handle the debt.  As a result, only 36% of Americans over 25 have graduated from college while in Canada over 56% have a post-high school degree, and the U.S. ranks 6th in terms of college education. But there are all kinds of other social effects. For instance, there is a strong correlation between being a Trumper and not having a college degree. Only 30.2% of the police in the U.S. have college degrees which helps to explain why American law enforcement is so violent. It also explains why so many scientists and physicians working today are immigrants.