You're right, but keep in mind that VAT is really only paid on things you buy for private consumtion, e.g. not on rent, medical insurance, pension plans, mortgages, not on your office etc. In the income brackets we talk about, at most 20% of income is taxed with VAT making the effective VAT tax rate 20%x20% or about 4%.
> and yes, you're not getting your taxes worth.
Thats debatable :) The US has a live expentancy as low as Cuba, very high crime rates, very high violent crime rates, low trust in society, massive homelessness, bad schools (but good top universities), bad care for the mentally ill, horrendous working conditions, ...
As far as quality of live per GDP per capita goes, the US is among the least efficient of all industrialized countries. Just think about the fact that Cuba manages to archieve the same live expectancy as the US with 1/6 of the GDP per capita of the US!
Close-to-50% total taxation is unfortunately pretty common in the West welfare states and yes, you're not getting your taxes worth.