I'm wondering if the rest of the world considers the USA Bizarro Land and treats it as such, or if it's just sort of like OTL's right to bear arms, ie. okay, kind of an odd way to live, but it's not gonna stop anyone from going there on holidays or doing business with American companies.
I could see a reluctance to headquarter big international organizations, eg. the UN, in the USA. because diplomats and other jet-setting professionals might not want to live in a country with no access to a common pleasure. Teetotallers can always abstain, but imbibers aren't gonna wanna hang around the back doors of nightclubs waiting for some guy to show up with a six-pack for their evening revelries.