Europeans don't, maybe sometimes can't, understand the absolute crushing pressure and gaslighting that most Americans are put through to make us the way we are.

It's a decades long effort to turn most of the population into a money and power pump for a tiny elite class, all while grinding us into dust.

We're crazy and scared all the time, and have no idea what's going on in the rest of the world.

There's a reason dying of opiates seemed like a rational choice to a lot of people.

The rest of world never sees the poor and desperate America, they mostly stay in the decently rich bits of New York or California, and have no idea what a "food desert" is.
Statement on Visit to the USA, by Professor Philip Alston, United Nations Special Rapporteur on extreme poverty and human rights*

SpanishWashington, December 15, 2017  I. Introduction

OHCHR