I'm sorry to put it so crudely, but this is a legitimate difference between the first and third world. And, clearly, it has consequences for the rest of the world. I don't understand why this is so controversial - we send aid to countries comperable in size to regions of impoverished mainland China. Only about half of China has modernized in the last ≈50 years and it's infuriating that bringing this up is suddenly socially unacceptable. These are facts which underpin life and death decisions for millions of people - we cannot sweep them under a rug because they happen to be localized.