Welfare policies are common even in developing countries. They simply don't have the kind of capital accumulated by European welfare states because they don't outsource their industrial manufacturing to poorer countries. Hence, the implementation is difficult and bureaucrats are often corrupt. Reagan won an election calling universal healthcare 'communism' and actually opposing something so obviously in favour of people -- this would not have happened in most poor countries. At least in mine, people consistently vote in favour of better healthcare, public transport and free food regardless of ideology. Fear mongering about 'commmunism' has been tried in urban areas, where people have the luxury to care about something like that, and it backfired spectacularly. The phenomenon of voting against one's self interests because gommunism and freedom seems to be a uniquely American thing.