Oh, it's a huge mismanagement. The USA is both the world's richest country AND a third world country. Such an incredible amount of tax money goes towards the military while the people have absolutely no support systems - everyone I know is very aware that a single bad medical event can bankrupt them.
Companies in the US are not about creating value, they're all about extracting as much as they can from the American people, and are very willing to use regulation to help them do that.