I've lived on the US/Canadian border for 7 years and know the United States quite well, probably I have more friends there than I do here in Europe.
As for your life, you've spent years on HN educating everybody here on it in minute detail so if you want to make the case that I don't know anything about it then I suggest you read back your own comments and associated blog posts. I know more about your life than I know about my sister's.
> He assumes I have huge medical bills because I'm American.
My comment had nothing to do with your medical bills or lack thereof, and - given your comments to date - I would rather assume that they are low.
So to me it looks like the assumptions are all on your end.
On another note it is rather rude to answer to a comment thread and then to berate an earnest reply in this way.