Depends on what part of the 3rd world we are talking about. Majority of African nations for example do not have UHC yet. Asia is a better off in this regard but not the entire continent.

I think you underestimate the extent to which the average motorist will break rules if they think they can get away with it.

If the goal is simply to keep money circulating and people employed, there are more efficient ways to do that.

Reddit, as a whole only has about 2000 employees.