Do you mean that people usually have bank accounts with only a debit card or do you write about people with no bank accounts?
Traditionally banks charge about $20/year extra for an actual VISA/MasterCard debit or credit card, though this has started to change. And of course the speed of change varies wildly by country, in some debit/credit cards are already widespread, in others not so much.
But I think credit cards are way more spread these days and many banks leave the old system.