If the first world female (or male) was asking why the third world female didn't:
e.x. "Just go to the hospital"
or "Pull herself up by her bootstrings"
or "Move somewhere nicer"
or w/e, then it would make all the sense in the world to explain things like "There is no hospital within 200 miles and nobody in the village owns a car", or "The last time she made any money it was taken away by a corrupt official" or "Legal immigration into a first world country is almost impossible for someone in her position."

People don't seem to have any problems understanding that: if I was to start saying that villagers in (African or Asian country) who live on less than a dollar a day (or whatever) should just go to a good US college and get a tech degree (when, say, no post-primary or even just primary school education is available), nobody has any problem looking at me and going "Really? You f'ing serious right now?"

That doesn't devalue the fact that I worked hardish in high school, got into a good US school, finished two undergraduate degrees and almost finished a masters degree in four years and from that and my extensive programming hobby got a job, where I've been recognized for being a solid developer: those are all meaningful accomplishments that I worked hard or work hard on and things I can (and do!) celebrate!

However, realizing that they aren't necessarily options that are as readily available to everyone or as accessible to everyone is basic empathy. This is something I don't understand: we both have no problem acknowledging this when the person in question a black woman from Uganda, where the structural inequalities are so stark it'd be impossible to miss them, but when it's only a black man from Detroit or even a white woman from New York who might not have had the opportunities and support I had, it somehow devalues my accomplishments? The deck I was given at birth was stacked in my favor, with (quite literally) almost every educational + societal opportunity: that doesn't reduce my accomplishments, but I can't say it definitely didn't contribute to them! (And that even means acknowledging the subtle things, like the fact that I was able to work on my second undergraduate degree and the masters coursework over the summers instead of needing to support myself or save money for the next year, or things like the fact that my high school had a lot of AP courses and I didn't have to start working as soon as I was legally able to in order to help my family's financial situation.) Acknowledging things like that may explain how I managed to do what I managed to do: but that doesn't mean that I just walked in the door and was handed two degrees without any work or was handed a job simply for being who I am. It doesn't devalue my accomplishments, but if someone had achieved the same things as me from a less advantaged position, then that would certainly be more impressive. And I'm fine with that: if someone had to work harder to get what I had to work hard to get, then their accomplishments are that much more impressive. If someone else, say, was genetically engineered and then programmed to know everything about computer science and modern mathematics, then maybe their getting degrees in CS and math would be less impressive... in the same way of if I went back to college knowing everything I learned and got an A+ in a class I used to TA, maybe that isn't really much to celebrate.