Wonder when Americans will apply this to themselves with their own government which does far worse things everyday instead of posting these comments.
And, finally, when you as a leader cannot meet those needs any longer, you push for war as the chimpanzee alphas do and prolong your position of power even longer.
edit: to answer your question, I think when they are less sick, have more perceived power and agency. The Americans of today are more sick, more self-perceived as disempowered, and in general a naive and gullible, cowardice people.