The R/T is shocking....
Not if you are proficient in English and a good listener and communicator.
It is actually not worse than else where, including the UK.
Airspace is lacking over there.
I wonder what the following link is depicting.
SkyVector: Flight Planning / Aeronautical Charts
Fly the east coast from Ft. Pierce to Key West and you would like what you experience, if you're able to successfully manage that.
WP