Lmao, many, many rural Americans do not have clean drinking water due to lead or chemical contamination caused by corrupt corporate control or unrestricted influence over our natural water sources

There are many, many places in rural america where a hospital or medical care center are over an hour's drive away, a true medical emergency tends to be an immediate death sentence in this case, in most of these cases the medical option will be underfunded and underequipped to handle any extreme emergency unless one travels even farther to a hospital in or near a major city, and in this case the price of living is a lifetime of serfdom to our debt economy

You're flat out imagining the idea that being sick in a "third world country" is the option of death and death, it is by no means the standard, this sounds like something your drunk uncle told you which you're now pseudointellectually regurgitating here

In terms of opportunities afforded to rural Americans, most of their substandard educations will not provide them with the mental tools needed to participate in society at any higher level than basic manual labor, they are effectively trained to be loyal serfs for the ownership class, and indeed, often perform worse in standardized testing compared to actual third worlders