Agreed. There aren't many places where you'll be technically limited in today's world.
However, let's say your're in prison and wants to communicate privately to the outside world. Or, you're in a place where the government is actively/extensively monitoring all technology mediums (to the extent that they could even get your private keys). What are your best options?
It would be absurdly difficult, but you could manually implement Diffie-Hellman key exchange to generate a secret with the other party without actually ever communicating it.
Just find a large prime, p (at least 600 digits to be safe).
Then pick an integer g between 1 and p and a random integer x.
Then compute g^x mod p.
Send p, g, and (g^x mod p) to your friend (you can even include these instructions for them -- it won't affect whether this works).
They take your p, g, and (g^x mod p) and choose a random integer y
They compute g^y mod p and send that back to you.
You take their (g^y mod p) and compute (g^y mod p)^x mod p. This equals g^xy mod p.
They take your (g^x mod p) and compute (g^x mod p)^y mod p. This also equals g^xy mod p.
You now share a secure secret key, (g^xy mod p), that you can use for encryption in a cipher. This is secure if you both chose a random x and y, which you never shared, and which any attacker would need in order to derive (g^xy mod p) from the four pieces of information they have: p, g, (g^x mod p), and (g^y mod p). The discrete log problem makes it computationally-infeasible to calculate x or y from those values.
Buuuuut then would come the even harder part: encrypting and decrypting messages (being a human cipher suite) with that secret key. :3 It's just rote math at that point, but... let's hope you have a lot of time and paper.