According to ChatGPT the US is the biggest producer in the world. If you are going to compare the EU to the US, it should be the EU to North America.
It should be EU to US or Europe to North America. Said that, if you want to compare with Europe, you will also have to include Switzerland which is not in the EU but is in Europe. Switzerland alone exports more pharmaceuticals than the whole US.
The US is a huge pharmaceutical consumer so they have huge internal production too, but if you look at their exports they are very small compared to the EU. The US exports ~$90B per year in pharmaceuticals, the EU ~$280B. Germany alone exports ~$120B and if you want to include European countries not in the EU, Switzerland alone exports ~$100B.
One small anecdotal example of this reliance on European exports is US states with the death penalty finding out they became unable to reliably source the required pharmaceuticals for lethal injections when the export from Europe was banned for use in executions. Some states had to postpone executions, discuss whether bring back execution by firing squad to the table, try with different pharmaceuticals, or even try different execution methods altogether like nitrogen asphyxiation.
The Disney case is sad, it shouldn’t fly here either. But some of the other stuff is standard business practices which mostly are acceptable worldwide. Not taking distinct anticompetitive behavior.
Sad or not, it's a consequence of the anti-regulation and anti-consumer-protection mentality.