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I have lived in Chiang Mai, Thailand for many years. Not only has there been both a Mac Donalds and a Burger King here for years - but the recent popularity of American fast food in Thailand has sent obesity levels through the roof!
Additionally, because it is relatively expensive (the same price as the U.S. - you can by enough food to feed an entire family for the price of 1 whopper) Burger King and Mac Donalds have become a luxury that only the wealthy can afford, and the poor can only strive to afford.
Disgusting!