All of the things you described are available, that's true, but any major supermarket, even in rural areas, will have plenty of healthier options available as well.

Take bread for example. Sure there will be some crappy sliced white bread on the shelf. But there will also be organic sprouted 7-grain high fiber next to it. In fact, there will probably be more healthy varieties available than just about any other country.

The options are there, but it can be exhausting to actually find them.

There are far too many products that try to position themselves as "healthy", but are closer to the rest of the crap on the shelves than actual "healthy" food. Even more frustrating is the insane amount of food now using sugar replacements to masquerade as a healthy option.

I personally, find it exhausting to shop at new stores because it can take looking at 2 to 5 items to find one that's actually made healthy.