McDonalds has been in Bolivia for 10 years, but each store has operated at losses every single year. Constant advertising and marketing has failed to get Bolivians to indulge in the famously unhealthy, mass produced food products.
The rejection of fast food in Bolivia comes from cultural attitudes about what makes a meal.
The McRib has over 70 ingredients.... Does that sound like food?
I think this is indicative of the kind of cultural shift we could use in the US!