The flipside is that there are many things are a consensus worldwide because they _are actually better_ but that the US still refuses to adopt, generally because it would mean following others' lead, or because there are special interests in keeping the current status quo.
To me nothing is more emblematic of this problem than the country's refusal to adopt the metric system: the alternative is objectively worse, but the country is pretty much the last developed country on earth to refuse to use it.
The reason we aborted the conversion to the metric system is because a generation of idiots couldn't stand the pain of switching, and the longer we delay the more painful it will be.
Lived there for 15 years, on and off. My son was born there. My father in law survived a bad heart attack there.
Yes, there are areas in the south where it's not so good, but any reasonably large country probably has some areas where things don't work as well.
People live long, healthy, happy productive lives there.
I was in Naples at the time and was a little disturbed by how lax the doctors (well, really everyone) seemed. I guess I shouldn't judge Italy's government/healthcare based on my experience in Naples, I have heard that northern Italy is on the ball for the most part.
The line you are drawing probably has at least as much to do with economics as culture.
And yes, the systems work in Germany and Japan because they're culturally and racially homogeneous (Japan).
The United States was founded by people who didn't like their home country and decided to leave, rather than bend the knee.
As such, we fight about everything. It's inefficient for some stuff.
1 - Italy was the 4th European country to introduce a smoking ban in public places.
2 - https://www.bloomberg.com/news/articles/2018-09-19/u-s-near-...
"Spain’s health system efficiency ranked third behind Hong Kong and Singapore, followed by that of Italy, which moved up two spots from a year earlier. Italy ranked as the world’s healthiest country in a separate Bloomberg gauge."
Is the ban enforced? If not, it's just lip service. When I went there 3 years ago (Rome, Naples), people smoked in public EVERYWHERE, even on public transportation. Sometimes I would get on a bus and there would be some guy in the back blowing smoke out of a cracked window
There are people smoking in Italy as there are everywhere. They were probably smoking down the street and that's fine. But I have never seen anyone smoking in hospitals, restaurants, cafe, buses, etc .. it is illegal and people wouldn't tolerate that.
That being said, of course, there are always people that do not respect the laws as everywhere else in the world.
People in USA have the opposite attitude towards authority and rules.
Go someplace in Europe that doesn't have this culture and it breaks down. Italy's healthcare is a circus. When I was in Italy not even that long ago a doctor came in to see me with a lit cigarette in his mouth.