> Having no access to walkable areas, fresh food, education, safe water, or public amenities in general is not a dignified way to live for most people.
These things are easily found outside of Manhattan (in my example, or whichever large downtown area you prefer).
In my little suburb I can walk to just about everything I could need, multiple farmers markets for fresh food (probably more than in Manhattan since there are many farms within an easy drive; not too many farms in Manhattan!), top rated schools, public parks, libraries, theaters, etc.
The only thing missing here compared to Manhattan is tons of bars within walking distance for the nightlife. There are a couple breweries within walking distance so that's good enough for me, given all the tradeoffs.