Not only do many worse off countries balance their books better but even many third world countries where most of the population lives in abject poverty have less debt and balance the books better than not even just the USA but also the most well off states here. What's your point? Running a functioning civilization, actually caring about other human beings and not just oneself, and taking care of everybody in a fair way cost money. I don't think many of us are going to be jumping at a chance to move to one of those third world countries where we can struggle to feed ourselves and live miserable lives until we die. Maybe what's really needs is a way the nation as a whole can adjust to paying for those needed things, like making the more wealthy pay a lot more than they do, instead of having a Darwinistic survival of the fittest (or more accurately luckiest) social mentality to cut cost.