Cloudflare is a US-based company that does MITM attacks on all traffic of the websites that it protects. It's part of how their DDoS mitigation works.
Many people still use large US-based mail providers such as Outlook or Gmail.
Many large services use AWS, GCP or Azure. Perhaps there are ways for the NSA to access customers' virtual storage or MITM attack traffic between app backends and the load balancer where TLS is not used.