Above that in Nepal it's just tents carried by human porters. In China/Tibet there's an advanced base camp which is like a village supplied by yak but without shops/public facilities, just expedition tents.
The trek to the 5200m stuff on the Nepal side is a nice trip and cheap once you get to Kathmandu.
Andean and Ethiopan populations also have separate such mutations of their own.
Academic article: https://academic.oup.com/icb/article/46/1/18/661204
Grunt work (porters, cooks, etc) is done by migrants from lowlands, on poor wages, with poor equipment and often effectively at higher risk despite not being involved in, for example, summit pushes. They do not benefit from the biological adaptations, nor noble savage mystique payday.
https://en.wikipedia.org/wiki/Didier_Delsalle?wprov=sfti1#Mo...