Wow. You really nailed it. This is exactly how I feel, and nobody else seems to understand or care how much I miss the US, and living there.
Especially my husband who, bless his heart, has a great job in Italy that he loves.
We come home to take of health care for exactly the reasons you mentioned. And we are looking at a HUGE dental bill for an implant he needs. YIKES!!
And when I am home (in the US), people always say something like "oh, Italy, you are soo lucky" Yeah right!