I do live in an urban environment (NYC for a decade now), and you're... confused on some counts. Public transportation is radically faster than cars, at least in any city with a fraction of the same population. Have you ever tried to drive through Atlanta or Miami? And living in an urban environment doesn't demand high-rise towers -- walkable townhouses and height-restricted buildings abound, and there's no shortage of human-friendly neighborhoods in New York. (I also hate midtown Manhattan, but that's nowhere near representative of city living.)

If you absolutely need a car for big purchases, Zipcar and its competitors are easily accessible. If you're older, you have BETTER options here in the form of delivery services than you'd have in a rural setting. If you'd like to get a little further away from the city in a nice, quiet Queens neighborhood, you can hope on the express train and read a book while you're zipped to your destination.

Hong Kong is a different animal just because it's, well, Hong Kong. But nothing in the world quite compares to that, and you really shouldn't associate New York or Paris with that crazy city.