I feel your pain. I'm an American living in Australia, so I'm not as significantly affected. Still my Google account and Apple accounts are all US based. My Apple account is tied into a family account I share with my US based family. I cannot download specific apps that are only on the Australian Apple App Store. My Sony Android TV cannot download some Australian television apps.
I cannot purchase Audible audiobooks without VPN'ing back in to the US, even with credits I've accrued.