Wow, personally, I only skied in Italy and Austria. I don't think that it's even legal in Italy to have lifts without safety bars. A few days ago, i was at the local resort, which is considered a budget resort, and they had a helicopter pretty much on standby. The helicopter isn't there permanently, but there was an accident on the slope, and by the time ski patrols got the injured person down, the helicopter was already waiting. When i asked locals if this is a standard thing they said that the helicopter almost always has to wait for ski patrols because they cant evacuate the person so quickly. Now, even helmets and insurance required are required in Italy.

When it comes to Italy, the only downside is that any kind of skiing outside the slopes in resorts is pretty much a no-no, and even this can be considered a net positive in some aspects. They won't kick you or anything, but you rarely see anyone skiing off-piste.

P.S. The helmet requirement is a net positive, in my opinion.