Economy in the west is not that stellar mainly due to much more focus on social aspects, more paid time off, free education including universities, free healthcare, we take care of the poor, disabled etc. Of course none of this is free, we all pay for it. Economies in the east have their own issues, relatively poor and corrupt is never a good mix.
Some people don't give a fuck about anybody else, its just me or just the closest ones, and for those US system looks much better and numbers alone do support it. Only to the point when societal issues hit back. Or you want to raise kids, and they want to study on university. Or not to worry about your health issues, which will inevitably come to all of us unless you die suddenly without any prior health issues.
So yes its by choice, but I don't think most folks understand that choice, done for them in the past, without them having a say.
There's a thing I remember but not well enough to search for, where someone was asked to forecast the challenges the UK was about to face, and they went through the decades of the 20th century showing how the biggest and most obvious fears of each period had basically nothing to with how events actually unfolded.