Maybe it's because US societal model creates a lot of misery together with prosperity?
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We are all responsible for our own choices. Also if you are mentally ill, you shouldn't be on the street.
For istance here in Italy we are (and always been) definetely poorer than the average american by most financial/income standards, but with all our huge faults and backwardness we still have much less people doing drugs or begging on the streets.
Our streets are safer than US ones.
Real poverty is still quite rare.