It makes no difference whether you dial up 7 moa or hold over 7 moa (or 2 mils, whatever) -- if your reticle is out of alignment with your bore you will hit left or right (depending on which way it is out of alignment) the same amount in either case.
If you're referring to center of bore w/resp to aimpoint, then "out of alignment" can be completely independent of level. For example, the function of windage adjustment IS misalignment.
As far as gun cant, any level anywhere on the gun will show this. But that doesn't tell you if the
elevation adjustment is turned in the scope rings. Right?
The gun can be level, with everything in vertical alignment with the bore(including scope centerline), but if the scope's aimpoint
adjustment is not true to this then aimpoint adjustments will introduce misalignment(aiming cant).
Also, dialing-vs-holdover can be different enough that you might not be able to have both plumb at the same time. Some scope manufacturers have a pretty ugly tolerance on reticle trueness. Some taking reticle level to scope body/turrets instead of mechanical elevation travel, because it's easier, and we're dumb enough to believe that matters anyway. The better scope makers still have tolerances, and even while they made sure the aimpoint is true to elevation travel, they're likely plagued with complaints about reticles less plumb to friggin turret caps.. Eventually it's oh well, keep the tactical mob happy, make bigger bucks!
If you think this is irrational consider this; NF NXS, bestothebestothebestsir, MOA adjustments, do not adjust in MOA.. Leupold Mk4, MOA adjustments, adjust in EXACTLY MOA.
Test everything about the scopes you hold in your hand.
The flip down level you pictured looks obscured by the focus knob from shooting position.
Be honest, can you see level from it while squeezing off the shot?
I hunt groundhogs in NE Pennsylvania**. There seems no such thing as level there, and hitting of hogs beyond 500yds gets rare pretty quick until you seriously mind your level.
Not a go-through-the-motions-toy level, but real, very tested level.
**
Not in 2020. Please let this year just end. AMEN**