At least my view from living in Europe is that medical care is at least partly cultural. In the US we put a lot more faith in technology (devices, surgery, etc) than you see elsewhere. Also the the approach of optimization is different. In Sweden when I injured my shoulder, I was given a conversation on over the counter remedies first, and if these were not sufficient would have had a conversation with a physical therapist, and eventually when these fail maybe stronger medicines would have been used. As it was the NSAIDs recommended (which were strong NSAIDs, much stronger than ibuprofen) worked for me.

I don't think it is fair to criticize medical practices across cultures. Every culture has a different view on these and optimizes for different things.