Yesterday she wrote that she is completely surprised. She was expecting that services are much better than ours. However, they are nowhere to compare.
Your impression of the United States depends on your points of comparison -- where you are in the US and what you're comparing the US to. Some medical researchers from China took a job in a poor part of the country, and upon arrival they complained, "Oh, no, what have we done to ourselves? This looks like a Third World country! Look at the terrible roads! How could the United States look like this???"
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