I have an Amex card from the States and I love it. It keeps me in check (most of the time) because I have to pay it off every month. No big interest balances and none of the accumulated debt. I have a other cards, but I leave them at home (for fear of shoe shopping!)
When I first came to Kuwait, not a lot of places accepted Amex. Then, more shops opened and services got better et voila! American Express was received at most outlets.
Fast forward to 2010... wait... backtrack... many places that used to accept Amex aren't anymore. That INCLUDES many of the big American fast food restaurants like T.G.I.Fridays and Ruby Tuesdays. How really un-patriotic!
I know Amex charges business owners a higher percentage, but c'mon!
I am also glad that my Amex hails from the US of Hey and not a local/regional office. A dear friend had a case of fraud where he was in Kuwait and charges were made on his Amex in another country. He disputed it (usually, American Express is outstanding when you question charges). He went on his merry way. He travelled. He had a nightmare when he was blacklisted coming back into Kuwait by who? You guessed it - American Express Kuwait. He had to clear the bill before he was allowed back in. They were ready to put him on a plane back to where he had come from - in Asia!
Personally, I have had problems reaching Amex in Kuwait and it usually ends by a call to their regional office in Bahrain. Lots of times, you can't get anyone on the phone in Kuwait and then they just don't get it.