What do you think the world will be like in 40+ years that gives you hope?
Climate change is concerning, but totally addressable with technology. We absolutely can fix ground water, ocean warming, carbon ratios. It involves will, resources, and the technology to be thoughtful of how we impact the planet, instead of randomly doing it as side effects. There are some "trivial" fixes for many issues that can be implemented if we decide we want to (paint 1/4 the sahara white, solar shades in space, etc). They are not hard and if things get bad we will take them more seriously.
Healthcare affordability is essentially a policy issue, but there is no reason in 40 years that healthcare can't be effectively free with AI/Robotics driving down the cost.
This is laughable to the point where I suspect trolling/parody. Regardless, there should indeed be scientific advances ahead of us in the next 40 years. With the ongoing collapse in forward-looking fertility rates, there certainly better be.
It is inconceivable that any of this will be available to 90+% of the human race, or even to most people in developed countries.
Insulin has been available to diabetics for well over a century now. And yet..... well, technology is the not the greatest obstacle.
And the government is getting rid of the $5 charge on prescriptions soon.
Don't tar the rest of the world with the US's brush.
Rising healthcare is mitigated by insurance and personal responsibility. Climate change, drinking water, ocean warming, and other global disasters cannot be mitigated alone or individually and so we limit our concerns over what we can have a direct impact upon. My kids will work, provide for themselves, care for others, and have good attitudes. Death is inevitable. Hope is essential.