The competition to be the Worlds leading nation.
To maintain its status as the number 1 nation, The US has to come to grips with its health-care problems. In the long run there is absolutely no feasible way around the demand for universal health care.
And as a good number 2; affordable education. So that whoever has the talent may get to study whatever they want. It is definitely not written in stone; that the sharpest minds have to come out of the upper middle class and the wealthy.
Failing to solve and achieve these goals will end up with pushing the nations future greatest talents out of the country. And thereby being lost to the competition.
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