You mean outside of Tokyo, Calgary, Tampere (points if you can locate it on a map without names), Geneva, the Ruhr area, Milan, Shenzen and a thousand other places?
The 'world' is a lot larger than the USA and there are many places where people are really good at technology.
They may not be able to address a large unified market and they may not have access to enormous amounts of dumb money to chase the latest social media fads but that doesn't mean you need to ignore their existence, unless it was your idea to underscore the point of the article.