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It also depends on the cultural views of the people in terms of their quality of life, what exactly makes life better or worth living? The answers may surprise you when you look at other cultures.
For example, many Buddhists do not share the typical view that more longetivity, pleasure and comfort equal to a better life. Rather, their primary purpose is to obtain peace of mind (nirvana) and the material world is seen as an illusion that can easily distract one from the true path. Thus, many gave up a comfortable life and hold no attachment to it. I wouldn't be surprised if many Buddhist living in Brutal conditions were happier than the average Westerner living a pampered life.
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