I've been to 10 countries outside the U.S. and I'll say that a lot of people don't know how good they've got it here.
The poor here would be wealthy in a lot of countries.
We've got the best infrastructure and cleanest air & water over 90% of the countries that I've been to.
Not to say we couldn't always do better, but like you said, a shithole is a shithole!
Oh by the way, some sections of the U.S. are shitholes. (I know that this sounds like I'm contradicting myself, but it's true, we need to do something about some of our inner-cities that are run into the ground by Democratic leaders.)