TBH, i've never seen an issue with higher-powered 115V devices (e.g. things like carpet cleaners), nor with fixed wiring at 240V (the fixed wiring for our cooker, drier, well pump, water heater etc. don't seem any beefier than UK equivalents).
The problem seems to be with the cables sold for "240V consumer use" in the US - e.g. the last few feet of 'flex'* for the cooker, drier etc. - as these seem to be massively over-specced for the job (I assume someone had a H+S wibble about it once, and now everyone's stuck with a crap standard).
- yeah, right.
US plugs/sockets for 240V use are similarly ridiculous, and like something out of the ark. OTOH US folk find the massive fused UK 13A plugs hilarious, so it works both ways :-)
cheers
Jules