The sentiment I personally hear when talking about the US (and, again, I don't speak for everyone) is more akin to the kind of sympathetic concern you might have for a friend who's become an alcoholic: It pains you to see them hurt themselves like that, but their temper flares when you suggest that maybe they drink just a little bit too much. But they can't be helped until they're ready to admit that they have a problem, unfortunately. So until then, all you can do is pray they don't crash when drunk driving.