Germany is usually even more behind, and TV broadcasts and movies are horribly dubbed versions. I'd gladly pay three to five times as much for Netflix as it costs in the US if it were available...
Also, we do have the playstation store (well... used to) but all the movies there are dubbed and we can't get the original version (with or without subtitles). I'll stick with bittorent for now...
You'll only need a US address (I am at Starbucks pretty much all day) and a US iTunes gift card (easy to get by), and you are settled.
It's a grey area, but MAFIAA should prefer it over piracy ;).
I always cringe hard and scream inside when I see that since I am trying to view a link online on a website so it should not make ANY difference which country I am coming from. Please keep your pre-historic distribution and business model out of the web!!!
Doing something like that should just be banned by law.
Recently I found a new music video posted in the official channel of a record distribution company (nuclearblast), which a couple of days later was blocked because one of the big music labels intervened. By now, they seem to have resolved their differences and the video is available again here - but for how long?
Another thing that should be against the law...
Even if I only have an internet access at my home, no TV and no radio, I still have to pay a quarterly "licence fee" (see http://www.bbc.co.uk/aboutthebbc/licencefee/) because certain public stations have a website and could offer certain TV or radio programs on their website.
The GEMA is something entirely different, about as capitalistic as you can get get. And so to no surprise there are equivalents in the US, e.g. BMI and the Harry Fox Agency.