[ehead]

Do you think that we'll be able to escape making this tradeoff in the future? I don't think it's unreasonable to think that sanitation and healthcare technology will advance to the point that they can be implemented in smaller communities at similar levels of quality that could be seen in big cities.

[scribu]

I hope we will have healthcare services that don’t require advanced knowledge or infrastructure to operate, but we’ll still need advanced tech to produce them.

I don’t see a way around this, since you always have to start from the same raw materials.