American Dream

American Dream

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Since my childhood, I have been captivated by the idea of settling in America, and this aspiration was nurtured by my cousin, Paul F. Parakkal, who journeyed to Boston in the late 1950s aboard a steamer. I used to maintain correspondence with him, and he would send me US postal stamps because, at the time, I was an avid collector of stamps from various countries. However, he couldn't assist me in obtaining a settlement visa because I couldn't pass the American Board Examination. Following that, my American dream took a bitter turn. Nevertheless, in this blog, I present all information objectively, relying solely on facts.

Recently, I engaged in a heated discussion with my daughter, who resides in North Carolina, regarding the comparative merits of living in the US versus the UK, taking into account factors such as the cost of living and overall happiness. To substantiate my perspective that living in the UK is superior to America, I had to share a wealth of information.

In essence, it appears that many Americans conform to certain stereotypes, such as displaying the American flag prominently outside their large homes, driving oversized, budget-friendly vehicles, consuming Big Macs, and owning firearms. While America may possess greatness, it is also burdened by a substantial national debt (with a US debt-to-GDP ratio of 107%, equating to approximately $85,000 of debt per American) and boasts the tenth-highest debt level globally. Americans often boast about donating billions of dollars to other nations, yet to grasp the true picture, one must visit and witness the homeless individuals, euphemistically termed "sidewalk campers." These individuals are not confined to Los Angeles, California; they can also be found in at least ten other states, including Hawaii, Washington, Massachusetts, Alaska, Colorado, Nevada, and Oregon. Curiously, the wealthier the state, the higher the incidence of homelessness. The scale of pavement sleepers necessitates rebranding America as the "Homeless States of America." Research indicates that during the last decade of both the Obama and Trump administrations, homelessness experienced disproportionately high growth. When I visited Los Angeles in March 1993, there were no tents belonging to homeless people on the sidewalks, but I did notice a few rough sleepers.

It is disheartening to observe that, in the eyes of many Americans, the predicament of "sidewalk campers" in tents is not a top-priority issue. Even if Americans disregard the welfare of these unfortunate individuals, they are unwilling to pay slightly higher taxes to alleviate this eyesore and stigma. Although the Department of Housing and Urban Development (HUD) operates Section 8 to assist the homeless, its reach is limited. To qualify for Section 8, one must meet specific criteria related to family status, citizenship, income level, and eviction history. Those lacking a certain income level do not qualify for Section 8. A significant proportion of these homeless individuals struggle with drug addiction, alcoholism, and mental health issues. In an unfortunate twist, some states have relaxed drug laws, exacerbating the plight of the homeless. Additionally, the average rent-to-income ratio is high in these states, compelling homeless individuals to seek shelter on the streets.

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There are numerous aspects in which the UK surpasses the US. Most notably, the UK offers universal healthcare and a much safer society thanks to stricter gun control laws, with school shootings being virtually unheard of in the UK (the last recorded incident occurred approximately thirty years ago, leading to the implementation of current gun restrictions). The quality of supermarket food in the UK is far superior and more affordable than in the US, where much of the food on offer is deemed inedible and contributes to the nation's obesity and poor health. In the UK, nobody dies or goes bankrupt due to an inability to afford healthcare.

No other country in the world charges as much for higher education as the US. In the 2020-21 academic year, the average cost of university tuition in the US was $51,335 per year, with some private universities charging even more, particularly for professional courses. On top of these astronomical expenses, students must cover living costs, which can amount to at least $20,000 per year. Despite these high costs, the average American student lags behind their peers in mathematics by a year, as evidenced by research indicating that students in Singapore are 3-5 years ahead of their American counterparts.

The UK enjoys a consistent four-season climate without hurricanes, typhoons, or cyclones. In contrast, southern Florida experiences regular hurricane seasons, and southern US states are characterized by hot and humid conditions. My niece, who relocated from India to Houston, Texas, in 2012, had to seek emergency accommodation twice due to floods and power failures during a recent cold spell. Additionally, the construction quality of houses in the US, often featuring wooden exteriors, is notably less safe. Generally, US housing construction falls short due to a lack of government building regulations. Plumbing and electrical systems in US homes are often subpar, and some appliances appear to have been designed in the 1950s. The UK, on the other hand, offers a fresh and varied climate, with the beautiful British countryside easily accessible to most residents. While the US may have vast wilderness areas, reaching them can often require a six-hour drive.

The US exhibits archaic bureaucracy, payment systems, and TV and internet services, many of which are of poor quality and more expensive. To this day, I am unable to submit my US income tax return online and must resort to mailing it. When I sold my house in Florida in 2019, I had to physically travel there to transfer funds from a US bank to an overseas one. Additionally, contactless payments are still not widely adopted in the US, despite their ubiquity in the UK, even among small businesses.

Levels of poverty and deprivation in the US are considerably higher and on a massive scale. Overall, the cost of living is much greater in the US, especially when factoring in healthcare expenses. Approximately sixty years ago in the 1960s, a doctor's visit in the US cost less than $4.00 per consultation, with medications being significantly cheaper. Health insurance was virtually unnecessary. However, corporate America lobbied successive Republican and Democratic administrations to transition to Medicaid and Medicare (Federal Healthcare Insurance) systems, primarily to boost their profits. It appears that insurance companies and their lobbyists may have established a so-called "payroll" for politicians to safeguard their interests. A significant portion of middle-class Americans' income is devoured by insurance companies. While discussing this matter with my daughter, she remained tight-lipped about the extent of insurance costs for various forms of protection, including health, life, accidents, home, children's education, car, employment, income protection, and public liability.

Another vexing issue in American life is the public transport system. In the UK, we benefit from extensive bus, tube train, and intercity train services, although they may be inferior to those in Japan or China. In contrast, the American railway system is rudimentary, lacking an extensive network, suitable rolling stock, and high-speed trains. This neglect has driven affluent Americans to abandon train services and opt for extensive car travel, contributing to environmental degradation. Surprisingly, the US government condones this practice. Consumer protection in the US is abysmal, exemplified by the reprehensible practice of corporate airlines forcibly removing legitimate passengers from overbooked flights to maximize profits once the flight is fully booked.


Greed is something, universally accepted by Americans and their government machinery. White collar crime is out of control in America. It has become acceptable for someone in the US to make a fast buck even if it is beyond the law. Remember how Trump boasted being smart on paying meagre tax! No wonder New York airport, La Guardia looks like a third world country airport. In the UK public transport is far superior, and for delay in flights, airlines have to compensate passengers. In the end my daughter would ask why people still struggle to migrate to the US, the answer is simple, they too have a hollow American dream like me!

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Dr.C.J.George

This blog is about my experience as a doctor working in various countries in different clinical set up. This experience spans through 45 years, in which I acquired a lot of favourable contacts and unfavourable encounters. I shall dig deep into them and make it interesting to the readers. Unlike others in the profession, I worked as a community medical officer in a remote areas, prison medical officer, benefit service medical officer, in cardiac surgery in prestigious institutions and as a private doctor. I was managing my own businesses, and real estate in three continents. I hope the information I impart will be valuable to the like minded readers.

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