You just need 10 mins worth of googling and a regular airplane ticket to one of the many places that will perform those procedures on foreigners.
People are crossing the border every day to get crazy dangerous esthethic surgeries in Tijuana.
I'm more worried about living in a country where 50% of the citizens hate the other 50%, where the media keeps pushing everyone to hate even more. That has been the downfall of many countries. It has real potential to make life very difficult fast, especially if you have kids.
The medias (I really don't think there is a singular "media" as everyone seems to) certainly can make quite a bit of money off this situation, but I was taught as a child by a particular religion that Democrats are demons who want to kill babies. I am not exaggerating nor am I particularly young; that is to say that this is not a recent development. When the indoctrination has reached that deep, I don't believe there really is any coming back. But yes, as I say to myself many times a day now, I am so glad I don't have kids; there is vanishingly little of this world I would wish to share with them.
I used to think of the 90s as a relatively peaceful time, but now that I've met several refugees (and their descendants) from all the wars in what used to be Yugoslavia, I'm not so sure.
For them, the media were TV/radio, not internet. So totally different.
One of these two groups actively courts such extremists while the other shuns them.
Other people in the thread have mentioned tax issues, but really, as far as tax havens go Montana is right up there.
On that note, as long as SWIFT and the rest of the global system stays up, it's possible to have your investments in the US but your neighbours elsewhere.