But... I have noticed this before 2016. Years before.
Example of bad American institutions: physical therapy, high schools, colleges for physical therapists. Food. Look at how horrible people eat in America. You'd expect the best country in the world to have a little bit more education when it comes to their bodies and the filth (food, pollution, information) they put into them. Not to mention how horribly ignorant people are about their physical health. These are the ones I have noticed.
I can't comment on the others.