I don't think that you can classify every American with wanting to "keep up with the Jones' just like you can't with the Brits. Some do, some don't. I know I have never felt that pressure, rather its been how I want to live and yes I want to have a nice lifestyle...according to me!
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I did find a huge difference when working in the UK with folks "signing themselves off for depression every now and then". I found that a bit different to say the least. In the US, I think when people call in sick, it really depends on your job. Example - my Brit husband works for a company over here that has a large call center and folks there seem to call in sick a lot and it does become an issue....yet on his side of the company (different department), if they call in sick, its not a problem because they don't do it unless they are really feeling ill. Where I work, its also not a problem because again people don't take advantage of sick days unless they are really sick (no repeat behavior-Mondays/Fridays, etc) so its not an issue.
As for wealth and a better lifestyle....yeah, if you work for it, you will get it. As for me, I am not a work horse....have never been into "face time" but I do work hard while there and I make a decent salary and have 27 days vacation a year. I can also work from home when my schedule allows it. All in all, a great work/life balance.
Why do I mention this, because its not an "either/or scenario" (work to the bone or remain idle)....just do a good job and be acknowledged for it, its not that difficult to do in the states.
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