No need. It's a known phenomenon.

https://www.npr.org/sections/health-shots/2022/06/16/1104969...

https://rooseveltinstitute.org/publications/medical-debt/

https://www.marketplace.org/story/2024/03/27/health-and-weal...

As for income distribution

https://worldpopulationreview.com/country-rankings/gini-coef...

State GDP figures are skewed by high earners. The US is massively and systemically unequal, with far less economic mobility than the EU.

I asked a question about the comments on this thread. This isn't responsive to that question.