I didn't say anything about clean water or medical care. Some go without that too. I know because I have. How long in the back of a pickup ? I lived in a pickup camper {no pickup} from April to December one year. No electricity, no running water. Shyt in the woods like a bear. Bathed in the creek like a duck. Cooked over an open fire everyday while I saved up so I could afford to rent an apartment for winter. Meanwhile I was working full time. It weren't no goddam picnic.