Japan still has a social contract, effective government and a world-class infrastructure. Imagine if it happened here. We'd be hearing about all those nasty poor folk looting, and how they deserved to drown because they didn't prepare for it. Not the government's responsibility. Nebraskans shouldn't have to pay for it.
Sad, isn't it?
Oh, and let's remember that the average life span in Japan is amongst the world's longest. Primary care is freely available in Japan, where docs make some of their money by selling prescription medications as well. Japan's per capita health expenditure was $2293 in 2007. That year, America's was $6096. So Japan has more money to spend on infrastructure, even before America's military spending is taken into account, while maintaining a responsive, inclusive health care system. And you don't hear about their governments being bankrupted by rapidly escalating medical expenses.