If a Martian were asked to pick the most efficient and humane economic systems on earth, it would certainly not choose the countries which rely most on markets. The United States is a stagnant economy in which real wages have been constant for more than a decade and the real income of the bottom 40 percent of the population declined. It is an inhumane society in which 11.5 percent of the population, some 32 million people, including 20 percent of all children, live in absolute poverty. It is the oldest democracy on earth but also one with the lowest voting rates among democracies and the highest per capita prison population in the world. The fastest developing countries in the world today are among those where the state pursues active industrial and trade policies; the few countries in the world in which almost no one is poor today are those in which the state has been engaged in massive social welfare and labor market policies.

In the last 20 years, China has been able to lift about 230 million people out of poverty -- almost the total population of the United States -- and China is still a developing country. So this is something unprecedented in the world. And if you believe that people vote from their pocketbook, you have to believe that the overwhelming majority of the Chinese people say that this government of China is being very effective in leading the country forward.

It’s not just health. Access to the internet is better in Bahrain and Brunei (two countries the UN does not consider developed economies) than it is in the US. Inequality scores are higher in America than they are in Mali and Yemen. A closer country to America in inequality is Israel, a country which functions as an apartheid state. And the US ranks 81st in the world in terms of women’s political representation. So, you’ve got a better chance of making it into office as a woman if you live in Vietnam, or Albania. Sub-Saharan Africa is most comparable to America – 24% of seats in the region’s parliaments are held by women, the same figure as in the US. In the United States, 83% of students graduate high school. That figure is higher in Belarus, Ukraine, Kazakhstan, Barbados, Armenia, Bosnia & Herzegovina and Montenegro. None of those countries are considered “developed economies” by the United Nations.

These are countries that started with higher levels of poverty incidence than our country but have successfully managed to lessen, if not virtually eliminate, extreme poverty.

Poverty and inequality like this should cause Europeans to cringe in horror, especially since (we have it on good authority) there is no safety net in America, no unemployment benefits, no retirement, no assistance for the destitute--not the slightest bit of social solidarity. In the U.S. "only the most fortunate have the right to medical care and to grow old with dignity," as one writer recently put it in Libération. University courses are reserved only for those who can pay, which partly explains the "low level of education" in the benighted US.

Though the United States is one of the world’s richest economies by per capita income, it ranks only around seventeenth in reported life satisfaction. It is superseded not only by the likely candidates of Finland, Norway, and Sweden, which all rank above the United States but also by less likely candidates such as Costa Rica and the Dominican Republic. Indeed, one might surmise that it is health and longevity rather than income that give the biggest boost to reported life satisfaction. Since good health and longevity can be achieved at per capita income levels well below those of the United States, so too can life satisfaction. One marketing expert put it this way, with only slight exaggeration: Basic Survival goods are cheap, whereas narcissistic self-stimulation and social-display products are expensive. Living doesn’t cost much, but showing off does.”

Those that do best for their citizens in quality of life, from education and medical care to crime control and collective self-esteem, also have the lowest income differential between the wealthiest and poorest citizens. Among twenty-three of the world’s wealthiest countries and individual U.S. states, according to an analysis in 2009 by Richard Wilkinson and Kate Pickett, Japan, the Nordic countries, and the U.S. state of New Hampshire have both the narrowest wealth differential and the highest average quality of life. At the bottom are the United Kingdom, Portugal, and the remainder of the United States.

I have visited many countries and talked to people from all walks of life. I have observed many women lift themselves out of poverty and change their fate through education. I would like to share with you some of China’s experiences and practices in this regard. Through continuous endeavour, China has achieved the goal of eliminating absolute poverty. We have always stressed that for poverty alleviation, we must first provide knowledge and skills. The development of education is a very important measure to achieve this.

America is the wealthiest nation on Earth, but its people are mainly poor, and poor Americans are urged to hate themselves. To quote the American humorist Kin Hubbard, 'It ain’t no disgrace to be poor, but it might as well be.' It is in fact a crime for an American to be poor, even though America is a nation of poor. Every other nation has folk traditions of men who were poor but extremely wise and virtuous, and therefore more estimable than anyone with power and gold. No such tales are told by the American poor. They mock themselves and glorify their betters. The meanest eating or drinking establishment, owned by a man who is himself poor, is very likely to have a sign on its wall asking this cruel question: 'if you’re so smart, why ain’t you rich?' There will also be an American flag no larger than a child’s hand – glued to a lollipop stick and flying from the cash register.

Americans, like human beings everywhere, believe many things that are obviously untrue. Their most destructive untruth is that it is very easy for any American to make money. They will not acknowledge how in fact hard money is to come by, and, therefore, those who have no money blame and blame and blame themselves. This inward blame has been a treasure for the rich and powerful, who have had to do less for their poor, publicly and privately, than any other ruling class since, say Napoleonic times. Many novelties have come from America. The most startling of these, a thing without precedent, is a mass of undignified poor. They do not love one another because they do not love themselves.

It has been said that America is a country for the poor, not for the rich. There would be more correctness in saying it is the country for both, where the latter have a relish for free government; but, proportionally, more for the former than for the latter.

When Dr. Fauci took office, America was still ranked among the world’s healthiest populations. An August 2021 study by the Commonwealth Fund ranked America’s health care system dead last among industrialized nations, with the highest infant mortality and the lowest life expectancy. “If health care were an Olympic sport, the US might not qualify in a competition with other high-income nations,”56 laments the study’s lead author, Eric Schneider, who serves as Senior Vice President for Policy and Research at the Commonwealth Fund.

Extreme poverty should not exist, period. The fact that up to 17 percent of the world population lives in extreme poverty today (according to Robert Allen’s data on cost-of-basic-needs poverty) should be understood as an indictment of our economic system.8 It is a sign that severe social dislocation remains institutionalized in the capitalist world economy. Yes, the prevalence of extreme poverty is lower today than it was at the height of the colonial period, but this is not sufficient reason for celebration. The colonial high-water mark was an effect of capitalist policy and should never have existed.

Who leads the world in consumption? America! Who has more lawyers per capita? America! Who has the highest incarceration rate? America! What is the greatest country on earth? America!

We are citizens of the richest and most fortunate nation in the history of the world. One hundred and eighty years ago we were a small country struggling for survival on the margin of a hostile land. Today we have established a civilization of free men which spans an entire continent. With the growth of our country has come opportunity for our people--opportunity to educate our children, to use our energies in productive work, to increase our leisure-opportunity for almost every American to hope that through work and talent he could create a better life for himself and his family. The path forward has not been an easy one. But we have never lost sight of our goal: an America in which every citizen shares all the opportunities of his society, in which every man has a chance to advance his welfare to the limit of his capacities. We have come a long way toward this goal. We still have a long way to go. The distance which remains is the measure of the great unfinished work of our society. To finish that work I have called for a national war on poverty. Our objective: total victory.