From Alternet.org, the 8 shocking ways the U.S. leads the world ...
1. Most expensive place to have a baby.
3. Anxiety disorders.
4. Small arms ownership.
5. Most people behind bars.
6. Energy use per person.
7. Amount of GDP dedicated to health care (17.6).
8. Cocaine use.
To this I would add having the most misinformed news watchers in the free world, courtesy of Fox News. This would change, of course, if we throw in North Korea and other tyrannical states.