the only time i see mcdonalds is when i travel to the city, other then that, we got just the local shops, and if you dont say cheeseburger, you get a big hamburger with no cheese, and you order what you want on it.. i guess thats what im use to... so people still do have choices, they just arent in the mainstream all the time. if people want something, there is someplace that will do it. whether it be name brand, or some local shop, you still get what you are wanting