I can't see anyone with the ability to drive chose not to in this situation - even the basic things like shopping - there's usually one or two small stores arround but getting to a bigger shopping mall was 30km round trip, doctor comes to town ambulance three times per week and if you have a medical emergency you're at the mercy of your neighbors or lottery that the ambulance from the closest ER is not busy, taking your children anywhere involves planning bus trips with limited time windows, if they miss a buss to school they are out for the day. And not to mention about 70% of people need it for work.