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In a weird twist developing nations actually end up having much better access to fresh milk (whether cows or goat etc).

Developing nations encompass a lot of nations and not everyone is a subsistence farmer there.

Also not everyone drinks milk at all. Lactose intolerance is widespread where people didn't traditionally raise cattle.

Not really correct. Lack of refrigeration prevents that and not many got cows in their 600 - 1200 sqft flat