To some Americans, it is that the US isn’t the pinnacle of democracy but far from it. To others, that the EU isn’t better policy wise than the US, it just has far more competing interests which mean lobbyists have to hand out more than a lump sum of sucking up to people. To some Americans, that your health care system is really shit, to others, that their public health care is increasingly under attack in some EU countries by an industry pouching and locking down medicine through the profits their greed has allowed them to accumulate in countries like the US to such an extent that there are real tradeoffs now to the for-profit alternative.