I don't mean shitting in the streets. I mean that if you go to a town of 20 people, you're going to get one lane streets, potholes, people winning mayoral elections because their family voted, more pigs than people, lack of water treatment, etc. There are people in the far north of Norway that herd reindeer, live semi nomadically in yurts. This is not significantly different from how khazakh people live. Once you get rural, the distinction between first and third world becomes much much less evident.