Tonight I watched a disturbing Panorama programme called "Poor America". You can watch it on BBC iPlayer soon. The coverage of hungry school kids and tent cities of the homeless poor was a pretty appalling thing to watch take place in the most wealthy country in the world.
But what was really, really horrifying was the mass charity medical clinics for hundreds of Americans with no health insurance.
Many of whom suffer appalling serious medical conditions that would be dealt with immediately by our NHS without question but in the USA they simply cannot afford to get treated. We also saw videos of one of the leading American Republican Presidential candidates appearing to call for child labour and that none of the rest condemn a scenario that someone in a coma with a treatable disease should be allowed to die if he didn't have the correct medical insurance.
"No Work, No Money, No Doctor" is what one of the Americans queueing up for treatment outside the clinic said. Is this our NHS future under Lansley reforms?
