“Behind” is a silly way to think of this because those are government policies. Whether and how to provide those things is a matter of opinion.
The US is able to lead in the fields you cite, and others, because of it’s extraordinary wealth. As an example of how rich the US is, the poorest state, Mississippi, has a higher GDP than the UK. This wealth serves as the fuel for investment and scientific research which enable the US to be a leader. Some people would say that the reduced government regulation in the US is what allows this massive economic growth in the first place.
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