This from my time living on the border of Mexico. Everyone always talked about how the roads on our side were as bad as on Mexico's side as a criticism of texan infrastructure. It's fair, by the way, American infrastructure is a mess. But then the life expectancy was like ten years lower just a couple miles away because of an invisible line (and a fence you could easily hop over with a ladder).
https://www.econlib.org/about-that-cuban-life-expectancy/
Independent studies have shown giant anomalies in other metrics that suggest the favorable metrics are being fudged:
https://mobile.twitter.com/wwwojtekk/status/1233017228792082...
Also a lot of reports that women are pressured to get late term abortions if there are any potential issues observed with the fetus, as this will ensure it doesn’t count as a mortality and not hurt that clinic’s stats.
It's also worth noting I would never try to compare the USA to other nations typically lumped under the now-vague definition of "first-world." The USA fails at many things.
The USA is distinctly, profoundly third world. Just because your rich ass is enjoying a pretty good life in the USA doesn't make that not the case; the rich enjoy good lives in many third-world countries.
The purpose of a system is what it does.
I'm not saying that welfare for a subset of the people who can pay their own way and high sin taxes on essential services are good government policy (I personally think the combination is farcically regressive), just that the system makes sense if you take that viewpoint.
I'm not saying CA is there yet but if you look at asinine policies from all the various states and their level of compliance it seems pretty clear that huge swaths of "perfectly fine when done reasonably" normal and common behaviors are more or less impossible to do while being legally in the clear. At what point does an unenforceable at scale policy become a backhanded infringement upon people's property rights?
https://www.theguardian.com/society/2020/mar/18/cannabis-can...
Stupidly high fees and requirements for production or sale licences, no real legal way to acquire initial stock, countless hoops to jump through and continuous fees, over top the exorbitant tax rates have made it fairly difficult for anyone without a lot of initial capital to even begin.
Despite the fact there was already and still is a thriving underground grey market that gets mostly left alone until somebody needs to be made an example of.
I know post 75 cars have to be smogged with factory equipment if using the stock engine (though I don’t know how the hell your average smog tech knows the factory setup for an 1980 Lancia Beta).
I've never done one for CA but some states make it hell to go from "car with no paperwork last owned by a dead person and last registered years ago" to "car with proper paperwork to sell/register" so for someone repairing old cars to flip that can cause a significant headache.