As a person preparing to move into a suburb, i understand the car dilemma americans have. Seen the documentaries.
American suburbs are a prison, the only way to get in and out is via car. The distances are huge, american cities are spread out.
Many people can't even bike, it would take too long.
Now let me give you my grandma's example. She lives in an apartment building in a smaller town in Eastern Europe.
Despite not being able to drive or walk for long distances, she doesn't have to. Absolutely everything she needs is in a 10 minute walking radius. If she can't walk to it, the bus stop is basically in front on the building.
My grandparents never had nor needed a car. Sure, they wanted one, but they couldn't afford it. That however did not impact their quality of life. They just walked or used public transportation, no problem.
Had they lived in an american suburb, things would have been very, very different. They would have needed at least two cars to get around.