The American diet is insane, full stop. However, I've just begun a GLP-1 regimen to address a willpower problem, not a nutritional problem. I'm not quite young anymore and have given lots of other approaches a shot over the years, but have persistently failed to achieve a weight that is not a threat to my health.
So far, what being on a GLP-1 gives me is a steady state that most people probably find quite unremarkable: I don't crave a snack, and I don't thirst for alcohol. Both of those desires have had real control over me for a very long time.
Versus the UK, any US supermarket I've ever visited (I lived there for a couple of years) seemed to have far less fresh food, especially vegetables and fruit, but stuff in boxes was piled high.
Then again, the UK vs. Spain or France is weird, by the same metric, they have even more fresh food than us in supermarkets, and much less boxed stuff.
Geography and having continent sized country probably doesn't help either.
Some Americans are surprised to learn that many supermarkets inside cities do not even provide parking, everyone walks or bikes there. People go to the supermarket every day.
Isn’t a monolithic place. I don’t think there is a non micro-state country in Europe where the absolute majority of people don’t commute by car.
Living outside of dense urban areas without a car is still generally tricky. In quite a few cities there are no large supermarkets in the densest parts and you have to drive further from the center to find one. So not having a car might be tricky