Let's just be clear, Americans as a people really are "not so different" from people in rural India. It's the environments that differ. The American West always

Let's just be clear, Americans as a people really are "not so different" from people in rural India. It's the environments that differ. The American West always had more than enough acres of land that people could spare a pit + outhouse on top of it, and rural India is... well, crowded. It's not as if rural Indians are innately unsanitary people who will seek out water sources to shit in.