McDonalds in non US countries is often very different from the US. Its still probably not the healthiest option, but it operates in a different market segment.
No free refills, though.
(Why am I eating McDonalds in Europe? Sometimes when you get off a train and don't have your bearings yet in a place, something fast that's a known quantity is the way to go even if it pales to other options you'll find soon).
(I don't notice a ton of difference between USA McDonald's and other ones, though the taste can be slightly different, and I don't usually frequent McDonalds in dense urban areas in the USA.)