Pretty much. Most of the best Universities in the world. That most of it's citizens could never afford to attend. Many of the best Hospitals and specialty clinics in the world. That again most of it's people can't use.

Most American's are somewhere in the middle, and I'm sure the median household has more disposable income than most other first world countries, it's just that the prosperity is so unevenly spread.

Granted, some would speculate that it is because of the unevenness that the US is so prosperous, but I would dispute that. I think the US could go a long long ways towards helping it's less fortunate without compromising it's prosperity.