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I'm sorry but I lived an extremely rural town for 10 years with <20k people and all of these thing were available. I'm not convinced these are exclusive to cities.

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Where my grandparents live there is nothing, no school, no shops no bus stop, only a comunity center and a part time church.

20k is a town. 100 people is nothing.

Extremely rural is <500 people. No traffic lights, no Subway sandwiches. Just a country store, 7 churches, and 49 horses.

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