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In this case, it really is just because Americans are prudes.
The home of Hustler magazine, Bill Clinton, and Traci Lords?
There can be exceptions to the rule, but there are plenty of indicators with problems occurring in the current film and video game markets that spell out Americans would sooner let children see graphic violence than the hideous abomination that is the human nipple.
Have you seen their American versions in comparison to the European ones?
Berlusconi is both European Clinton and what Trump wishes he was.