it's simple
nationalize healthcare or continue living in a 2nd world country (1st world countries by definition are nanny states)
your call usa
So how did the USA become a superpower and at the same time sustain your 3rd world nation while all the time not having a nationalized healthcare?
There is no 1st world nation that is a nanny state. Greece is not a 1st world country. Neither are any of the European countries nor Canada.