Its impossible to do an apples to apples comparison but I would imagine by most standards EU health markets are less regulated than American ones, just because

Its impossible to do an apples to apples comparison but I would imagine by most standards EU health markets are less regulated than American ones, just because the organizational structure is so much simpler and oversight is so much less distributed. Instead of needing policy on every kind of machine you can use in what configuration or parameter codified in law or by an agency by formal declaration the NHS just buys the stuff they want doctors to have.