I think it's a bit impolite to insult entire countries in an international forum.
Being a native speaker of Italian myself I think I understand what he really meant with "paesi civili" "civil countries". That would be "civil law countries" (say France, Italy, Spain, etc. etc. where health is public) vs "common law" countries like the USA (where health is private) and the UK (partially private). Which is quite incorrect anyway here because that distinction refers to the law system, not to the health system. Switzerland is a country of civil law like Italy but with a private health system like the USA. In Switzerland if you come back from Egypt with the bends the hospital will charge you back everything unless you have an insurance, more or less like in the US, and that applies both to Swiss nationals and foreigners who get a medical treatment in Switzerland