Americans, like many citizens of rich countries, take for granted the legal and regulatory system, the public schools, health care and social security for the elderly, roads, defense and diplomacy, and heavy investments by the state in research, particularly in medicine.

In this quote, Angus Deaton reflects on the often unacknowledged benefits that citizens of wealthy countries, particularly Americans, enjoy due to their legal and regulatory system and the various services provided by the state. He suggests that these citizens tend to take for granted the public services and infrastructure that play a crucial role in maintaining their quality of life, such as education, healthcare, and social security for the elderly. Deaton highlights how these systems are foundational to a prosperous society, yet are often not fully appreciated.

Deaton also points out the importance of public investments in areas like defense, diplomacy, and particularly research, especially in medicine. These investments are essential to maintaining the country’s global position and ensuring the well-being of its citizens. However, such contributions are frequently overlooked, as many people do not recognize the magnitude of the state’s role in fostering these advancements, from healthcare innovations to national security.

By mentioning the roads, defense, and diplomacy, Deaton emphasizes that a modern, well-functioning society depends on a wide range of infrastructure and services that go beyond what is visible in everyday life. These foundational aspects of society, though critical, are often taken for granted because they are part of the status quo and seem to always be available, whether individuals directly interact with them or not.

Ultimately, Deaton’s quote urges a greater appreciation for the state's role in ensuring the functioning of society and the economy. The systems that are often taken for granted, such as public education, healthcare, and research funding, are essential to the well-being of individuals and the long-term prosperity of the nation. His statement calls attention to the need to recognize and preserve these valuable public services.