As an American male who went to work the day after breaking his collar bone, I can testify that without a doubt, my rugged outward appearance would get thrown aside if proper health care and sick time were available to me. Scamming an x-ray by using a fake name at the hospital and carefully rationing what little methadone I could buy from local junkies, while Cowboy As Hell, is a pretty awful way to get by. I'd much rather be at home in bed mending then lifting boxes of apples with one arm and ensuring that my bones set at an odd angle. I think that if European style health care was available here that we'd adapt pretty quickly, rugged independence be damned.

In Italy there's a meme (at least on Facebook) according to which men are more likely than women to complain about minor health problems. I disagree, but being male myself I might be biased about that.