While I think your point is valid (that the majority of suffering is not in the United States), I just want to point out that there are still some people who don't have enough food or basic utilities in the States, and I'm not even referring to the homeless problem that some cities have. Look to deeply depressed rural areas like small mountain-pass towns post-industrialism, and look to the poorest of the poor inner city neighborhoods. Hunger, illiteracy, disease, these haven't been eradicated yet.