Comment by pixl97

>in the US I think because of our hyper individualist culture.

Calvinism.

There's been a number of papers written about how pervasive Calvinistic ideas are in the medical community. This tracks with the New England area of the US pumped out the most doctors while medicine was 'growing up', and protestant christianity was the most common form there. When you view the creation of the US medical system with that view many of our screwed up systems make sense. A lack of willpower is a failure of man to be in touch with god, and not a problem a doctor should solve.