Fractal commerce (emergent at every scale). The near-complete eradication of mom&pop stores and everything smaller. In Asia etc it provides a ladder for poor & up. The evidence is visible everywhere - from actual streets to the market.
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*the lack of* fractal commerce
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The fact that most of those who consider themselves Americans were the colonizers not the "freedom fighters"
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Healthcare
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I think the most important problem in US is the almost complete absence of a universal system of catastrophic insurance. It is sobering to see people living in the streets/cars/RVs (in LA, a LOT of people) because of medical bills or psychological problems.
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Also curious
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