With 3rd world leadership. That's our problem. Just imagine the healthcare infrastructure (and general infrastructure overall) we could have if we focused our energy on that instead of fighting goat herders for 20 years and building trillions worth of planes, subs, carriers, tanks, bases, etc, etc? It would put everyone else to shame. South Korea, Germany, etc healthcare would look like a cute toy next to it. And Dems are guilty just the same of this "3rd World Leadership." No politician in my lifetime ever had the guts or integrity to cut defense spending and spend it on healthcare and education. Eisenhower issued that warning 60 years ago, and it has come true.