Only in US and UK and such. Anywhere else it would indicate a severe pathology of justice system.

Why? Settling out-of-court is a win-win for everyone.

If it weren't a win for both sides, the side that feels like it got the short end of the stick would opt for court.

On the other hand you have Brazil, where there's like 1 active lawsuit for every two people in the country.

The fact that people are able to remediate disputes without resorting to escalation indicates a high level of maturity of the legal system and legal profession. Third party remediation is a result of a failure of both parties to work out a solution amongst themselves. A legal system where both parties know and agree on the law is a success, not a failure.

By analogy if people manage their own illnesses without engaging health service should be a testament to the level of maturity of health services in USA.

I think people in healthier countries in fact do consumer fewer healthcare services than those in the US.

In Germany most of the cases are settled outside of the court but with the help of a court judge.