they can be--but the default for rural life in USA is much more energy intensive, per person, than urban life (and that's to say nothing of the geographical footprint) https://twitter.com/themechaprimate/status/1037183011601690625 …
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Nah even without modern trash, the environmental impact will be similar albeit not as bad if they don't have the sense to start burning some waste or composting. It doesn't help of course.
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But at some point the culture has to evolve to the point that people dislike "just throwing trash on the ground, in the river" because it is ugly
End of conversation
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