You can't seriously believe that you have the
best health care system? Other systems do have flaws but the US system is based on $$$. It may be ok for those with $$$ but ask those without.
Back on topic. I agree that the size of truck you buy has a lot to do with status and advertisement. It can be broken down even further. Why buy a 4x4 DC when a PreRunner AC would have probably done the job?