In France at least we have an Alt-Gr key (roughly equivalent to holding Ctrl+Alt) on the right of the spacebar instead of an Alt key. And unfortunately Alt-Gr+Left does nothing. So we have to use two hands to press Alt+Left, that's why I personally prefer using Backaspace
It's not the keyboards. It's the keyboard layouts that are configured in software. And not all "American" keyboard layouts make that key an Alt modifier. The Microsoft Windows "United States International" keyboard layout makes it level 3 shift, for example.
And if one includes North America and South America in "American" the same goes for the Canadian Multilingual and the Brazilian Portuguese layouts. (-:
If only Alt-Gr+Left or Right Ctrl+Left worked...