One of those moments the rest of the old continent would stop, look at the USA, & exclaim in unison: "Idiots".
Much of the old world has gone that have existed for centuries and people live in them today.
What horrified you is basically part for the course for them.
Dont you think that answer is far to clear cut? How about if it's abstatement heard from a supposed friend's doctor and you dont want to get a hold of your family doctor for as inane of a question as it is?