I’m not sure why you shy away from attributing it to “America”. Trump has certainly exacerbated it, but lack of universal health care due to America’s racism, rabid anti-socialism and vampire capitalism has been decades in the making. Jobama didn’t do much to flatten that curve, so the US has a continuing pandemic of poverty, homelessness, indebtedness, uneducation, sickness. In your analogy it is a slowly almost imperceptibly rising plateau, which will bring us to … a cliff edge?