Why does the USA have such pathetic health care & education ?

Several factors have resulted in the USA's health and education systems being somewhat sub-par. Specifically:

* The USA is in general very right-wing and hence provides fewer public services in some aspects. For instance, in most European countries, Canada, and Australia, healthcare is seen as an essential human right that everyone is entitled to, whereas in the USA it's seen as something you have to pay for, and costs are very high, to the point that for most people without insurance, and even a lot of insured people, affordable healthcare is inaccessible.

* The federal/state/local divide: a lot of essential services are the remit of state and local governments, which have widely varying resources and funding, which leads to very uneven standards and outcomes across the nation.

Our constitution assigns these matters to to the states and it worked reasonably well. Except in bad voting areas, so the bad voters banded together seized power and spread the misery nationwide by putting the politicians that were the problem in charge at the federal level

edit oddly enough the bad voters and politicians called this the "great society" maybe taking inspiration from MAO's great leap forward where political meddling destroyed Chinese agriculture starving 10s of millions to death

The failed ideology of c0nservatism has nearly destroyed our education and the greed of their corporate allies in Big Health Care and Big Pharma has nearly bankrupted us while leaving millions without coverage.

I don't know