Is it so strange to keep an eye out for rocks as you keep an eye out for clouds below?
I think this difference between the visual procedures is generated by the way the US use it. I imagine (when your country is completely plastered in E) their options for assigning descent are to clear the aircraft down to the MSA, then clear them for the approach. If the pilot request VFR descent they can be cleared to hit the ground if they want, just look out the windows every so often, OK? Look forward to this concept here in Stage 3