I can’t say I agree with this assessment. There’s good Thai food in NYC, but probably less so in rural New York. In the same way, there’s amazing Thai food in Berlin, but probably not in rural Bavaria.

Also, in your average Italian city, the average meal will still be healthier than the average American meal. The idea of food deserts is what doesn’t exist in Europe, at least not Western Europe. The local mom and pop shops still have veggies and fruits, and I was amazed to find none within biking distance when I was in the US.

I don’t want to have to need to shop at Trader Joes, Whole Foods, or live in a posh city to avoid having to eat over-processed food and be constipated all of the time.