The U.S. game has come around under Klinsmann due to him recognizing what our personnel is.
Klinsmann's attacking style is much more suited for the U.S. than the possession (hold and wait style) that the European's play. The U.S. just doesn't produce technically sound soccer players (or should I say football players) that the European's (and some South American teams... Brazil, Argentina, and Columbia) do because U.S. players are taught to shoot and score goals before they are taught fundamentals such as possession and ball movement. Klinsmann has incorporated a possession oriented attacking style of play. If you watch, you will see that the only time that U.S. plays negative is when they are under pressure or there is truly nothing open forward.
The U.S. plays a very similar game to Uruguay... the goal is to work straight up the middle rather then in-out-in (European style). One reason the U.S. can play this way is because they have a semi-technically sound players in Graham Zusi and Michael Bradley who are both capable of feeding Dempsey and Altidore. The same with Uruguay, they have a semi-technically sound player in Diego Perez whose entire job is to feed Cavini, Suarez, and Forlan.
It's a shame that Uruguay probably won't qualify for the World Cup... There's also talk that Forlan may transfer to Toronto FC of the MLS.