Landed elites translate their wealth into political power controling local politics to their own benefits. Lack of access to any services is par course as is unequal political access. Lack of hospitals, infrastructure such as roads to get products to market, schools and education is most evident in the rural areas. These areas have the highest levels of poverty and malnutrition as well. In some parts of the world, such as in Brazil, peasants have organized squatters movements to seize idle land.
Brazil has ten million rural poor who have no access to land.
They have formed a movement of the landless that has come under severe attacks from private armies under pay by landowners. The commercialization of agriculture to produce cash crops produces pressures that tend to drive peasnats off the land. Staple crops are not grown and the prices of food increases. Poor farmers cannot afford food. Commercialization also drives up the price of land making access to it even less likely.