I grew up in Germany. Europe is far more liberal than America. Even most conservative right-wing parties over there are to the left of the US Democrats on many issues. For example, it wouldn't occur to even the most right-wing party in Europe to oppose universal healthcare. But this isn't a book about politics. It's about sex and drugs. You know, the good stuff.
I saw a documentary about prostitution in Holland a few years ago, that said over there health insurance actually pays for monthly visits to a prostitute for the disabled, because they feel that sex is part of a healthy life, so unmarried disabled men have a right to have sex, even if it's with a paid prostitute. Pretty bizarre, huh? Can you imagine a US health insurance company picking up the bill for your romp in the hay with a hooker?