Americans expect college campuses to be like resorts, parents expect a lot of pampering and personalized whatever for their kid etc. In Europe, university students are independent adults who take a bunch of courses, take exams etc, but have lives on their own, outside uni. They may rent a room in housing with connections to the university, but the university doesn't babysit them. They don't expect anyone else to keep tabs on what they need to do, no pampering. There is no customer mentality. You spare a lot of money this way.
So it's at least in part cultural and also reflects in different attitudes regarding healthcare, restaurants, retail, and general business conduct.