there is a service in my town that purchases from anywhere and delivers, whether its clothes, food, even mdconalds and they deliver it within 1 hour for $5. (not recommended for small purchases like a single cheesebuger or a pair of socks) but it does help those that cant get around EG disabled old and lazy to get things locally. and they accept bitcoin.
there are many ways around it, the world is your oyster of ways to get bitcoin implemented locally in your town. but if people want it in THEIR town THEY have to do it. after all someone thousands of miles away in a different state/country wont help YOUR town