The realization of Americans' education rights is not guaranteed. The American Human Development Report 2008-2009 showed that 14 percent of Americans (about 40 million), with inadequate ability to read or write, were not able to understand the articles on newspapers or user manuals (The China Press, July 17, 2008). A report published on December 3, 2008 by the U.S. National Center for Public Policy and Higher Education said college tuition and fees increased 439 percent from 1982 to 2007 while median family income rose 147 percent. Tuition for the 2008 fall semester increased by 6.4 percent on average for state universities. Many states planned to sharply increase tuition for public universities in 2009. Florida and the Washington states were considering an increase of 15 percent and 20 percent, respectively. Among the poorest families -- those with incomes in the lowest 20 percent -- the net cost of a year at a public university was 55 percent of median income, up from 39 percent in 1999-2000. At community colleges, that cost was 49 percent of the poorest families' median income in 2008, up from 40 percent in 1999-2000 (The New York Times, December 3, 2008). Only 11 percent of the children from the most impoverished families were college graduates. The figure for children from the top earning 20 percent families was 53 percent. (The New York Times, February 22, 2008).

Americans without health insurance have been increasing. According to the American Human Development Report published in July 2008, despite spending 230 million U.S. dollars an hour on healthcare, Americans live shorter lives than citizens of almost every other developed country, ranking 42nd in terms of life expectancy. One out of six Americans does not have health insurance. The Census Bureau said in a report published on August 26, 2008 that there are 45.7 million Americans without health insurance. Nineteen states had already made cuts or were planning to make cuts in Medicaid and/or State Children's Health Insurance Program (SCHIP) (The China Press, December 12, 2008). As medical expenses were rising, many companies quitted buying health insurance for their employees. A research conducted by the National Federation of Independent Business in March 2008 found that only 47 of percent small-size companies provide health aids for their employees. Among companies of 50 employees or less, only 24 percent offer health aids. Many gave up seeing a doctor or receiving treatments as they couldn't afford it.

Drugs, suicide and other social problems prevail in the United States. America has the largest population of cocaine and marijuana users in the world. A survey of 54,000 people from 17 countries found that 16 percent of U.S. survey respondents had at least tried cocaine in their lifetime, and more than 42 percent had tried marijuana (WHO global drug survey finds high rates of cocaine, marijuana use in U.S., http://www.thebostonchannel.com). The suicide rate among middle-aged white Americans had been on the rise. A research report issued on October 21, 2008 by the Johns Hopkins Bloomberg School of Public Health said between 1999 and 2005, the overall suicide rate in the United States rose by 0.7 percent every year. The figure for white men aged 40 to 64 rose 2.7 percent and for middle-aged white women 3.9 percent. In 2007, a total of 138 people in the city of St. Louis committed suicide. As of June 2, 2008, 61 in the city committed suicide, up by 15 year-on-year (The Washington Post, June 2, 2008). The suicide rates in Baltimore, Detroit and New Orleans were all on the rise (The Christian Science Monitor, January 4, 2008). Many young Americans have personality disorders. Researchers found that almost one in five young American adults has a personality disorder that interferes with everyday life, and nearly half of young people surveyed have some sort of psychiatric condition. Fewer than 25 percent of college-aged Americans with mental problems get treatment (1 in 5 adults has personality disorder, http://www.archgenpsychiatyr.com).