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European governments do these extra things for their citizens because they have to. Or at least historically had to.

Because there was an active socialist & communist movement -- with massive trade union support -- on the continent forcing them to.

That is basically non-existent in the US, and very weak and closer to non-existent in Canada. (We only have universal healthcare here because of the actions of the social democratic CCF/NDP in the 60s in Saskatchewan, winning against a doctor's strike and showing the centre-left in the rest of the country that it was possible. At that moment in time. I don't think such a thing could ever be won now. Not against an established insurance industry.)



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