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More and more people are ditching carrier roaming in favor of travel eSIMs
(www.androidauthority.com)
This is a most excellent place for technology news and articles.
It only means that the prices are adjusted to get the most out of what people have, not that it costs what its worth
It's more expensive to build in western countries due to higher wages though, and probably better safety standards
And lower population density. At least in the US, there's a ton of empty space with pretty good coverage. I imagine India has a lot less open space, so more paying customers per tower.
The salaries for people building and operating the infrastructure are probably a bigger component though.