
You apparently do. Trump has nothing, whatsoever, to do with the state of healthcare, and won’t. The ACA was a Republican think tank health plan, and is directly responsible for the state we’re in. Healthcare reform hasn’t been on the table in a serious manner in this country, from any party.
Most “third world” or “developing” countries aren’t that bad, and there are places in the US far worse than the median developing country.
Also most people in most places do not want to go to the US, even to visit much less immigrate. It’s generally either the worst of a particular society or those specifically harmed by the US previously and feel their chances are better off with the abuser instead of in the abused country. It’s not a wanted destination.