When all the health care stuff goes into effect, expect the average U.S. top combined state-federal marginal tax rate to hit about 52%. And embedded taxes in goods and services will rise as providers brace for the reaming they're going to take due to health care, cap & trade, the long-desired (by some) but not-yet VAT, and any number of other current federal projects. And with the value of the dollar getting lower, expect your money to not buy as much as it used to.
All of a sudden, Peru don't look so bad.