Speaking overbroadly, with way too many generalizations, simplifications, and the like...
You stand a stronger chance of hearing such voices if you actively seek out and speak to those voices. The directive given to young children to actively seek out and talk to their conscience (a la Pinnochio) is a cultural one which, over time, can shape a portion of your mind to give you this sort of feedback. Further training of this portion of your mind might be provided through a channel such as certain traditions of prayer or meditation found in western Christianity, seeking to program this part of the brain to guide you to be as ethical as possible; some Protestant denominations in particular focus extensively on building a "personal relationship with God" through conversational prayer. Specifics may vary widely within individual cultures, and even over an individual's lifetime, but America in general has seen a strong influence from Protestantism over the years, and it may be affecting the way people in America organize their thoughts with inner dialogue.
I wonder if those working in the science of conscience are subject to some sort of cognitive self-selection bias...