The United States and Canada have the most expensive elevators in the world. Prices charged in North America are at least three times those charged by the same manufacturers in comparable mid-rise buildings in high-income countries in Western Europe.

As a result, the U.S. and Canada have fewer elevators per capita than any other high-income country for which data could be found

Unique North American elevator standards have led to no discernible improvement in safety outcomes compared to those in Europe.

https://admin.centerforbuilding.org/wp-content/uploads/2024/12/Elevatorsexecutivesummary.pdf