So what? Most of the food, especially the milk, is heavily subsidized by US taxpayers. Medical care is subsidized.
How does a tiny country with only 4,000,000 people, and very high costs for everything — build, own and operate so many state of the art ships? You can guess which country that is?
As another example: How can Australia have a nearly $20 / hr minimum wage and pay tugboats captains over $200,000 per year?
The entire developed world runs on subsidies, such is the nature of big government.