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Cherry picking isn't really needed, infrastructure and health care are a disaster here.

edit: For some perspective, there are 240,000 water main breaks every year in the US, wasting over 2 trillion gallons of treated drinking water.

https://www.infrastructurereportcard.org/cat-item/drinking-w...

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These statistics are only possible in a nation that has over 240,000 water mains (or do some break more than once a year?)

A smaller nation can choose a solution that works better at smaller scales, but doesn't scare well - because they don't need it to scale much. A larger empire has fewer options.

Europe has far more people than the US, I don't know what you're on about.

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