The US is a much better place to have any kind of unconventional family structure. For example: I make significantly more money than my husband does so, when we have kids, I’d probably take like six months of leave and then my husband would take over/become a SAHD. In the US, people would be like “Oh cool!” In Germany, they’d be like “Scheiß Rabenmutter wieso kann eine Frau Kinder kriegen, wenn sie eigentlich nur Karriere machen will?!” Similarly, adoption is also semi-common in the US and no one would bat an eye if your kids look completely different from you (other than the initial “Oh I didn’t know”).
Plus if you can afford American healthcare… in the US, they have an RSV vaccine for pregnant people/infants and all hospital staff must be current with all of their vaccinations. In Germany, something like one in three women are abused by their doctors during pregnancy/birth and, when you consider how common home births are, realistically like half of women who deliver in a hospital are abused during the process (namely the doctors follow outdated practices (Kristallgriff) and do not respect the patient’s consent). With my experience in the German healthcare system, I’d rather give birth in a Sanifare toilet than in a German hospital because the toilet staff aren’t going to tie me to a bed and cut my taint in half without my consent. At least in the US, I can tell the doctors off if they cross a line and they’d listen to me because there are consequences for not respecting patient’s rights. Aber tja hauptsächlich ist das Kind gesund…
That’s what I mean by “if you can afford it.” If you control for factors like income, the maternal mortality rate isn’t actually higher in the US than in other developed countries.
Plus that shouldn’t be the only factor that matters if like half of the people are left with PTSD and other severe complications that could have been avoided.