Good question. You're correct in thinking that most machines/technology used are from other countries. But when we refer to our first world technology, we're talking about the latest machines being used NOW by these developed countries. NOT machines being used 20 years ago, which is common here in the manufacturing field.
That's not to say we don't use these older machines. We still do. It's just that we're relying more on these new technologies than other manufacturers do. What that means is better quality consistency in your volume orders.