I'm 62, and grew up near Detroit. I remember cars developing major rust holes after just a few years. The rusting also affected the inside of the engine compartment, and it did make repairs more difficult. There was an industry of aftermarket rustproofing shops, that were a scam. Every teenager with a car (which was still rare) learned how to patch rust holes with Bondo.
My first car, the frame rusted out and had to be welded back together.
Toyota and Honda put a stop to that. They did a number of things: Better steel alloys, better coatings, painting the bodywork before it could start rusting, eliminating places in the body where water could accumulate, etc.
Today, you rarely see totally rusted out cars on the road.