you probably have never seen real American food

Objection: speculation.

Yes I have. I've seen local dishes from several locations in the US, however I wasn't impressed. It generally consisted of too much meat and far to few vegetables. It's far from a healthy balanced diet. There are too many sugars and fats in most dishes. Even when ordering dinner often there's sugar in it. There's even sugar injected into supermarket meats. What the actual fuck. I've also had the pleasure (not really) to have meals on US war ships on too many occasions. Including the USS Enterprise. Yes, the one from Top Gun, now decommissioned.

I've also seen reports on the food safety regulations, or lack thereof. This is the reason why many American food isn't allowed in Europe. It doesn't even come close to meet our minimum standards. I've seen reports on the issue of real food like fruits and vegetables (still not meeting European standards in most cases though) being extremily expensive while fast food is relatively cheap, forcing people living in poverty, which is a massive part of the American population, to eat chemical waste causing loads of health issues. You know, the stuff you need heath care insurance for, which they can't pay for either.

In your picture is herring with pickles and onions. It's healthy, but I don't like it. The Dutch cuisine used to be Bourgondisch but since the second world war it became very plain as people had to make healthy food fast and simple with whatever was available, to rebuild the country. Our rich cuisine never returned. However, these days you can order food originated from all over the world. Yet again, going for Americans style food, it's very much not healthy at all.