For most Thais, quality of life has improved although incomes remain low. The rural poor majority were not equal beneficiaries of the pre-1997 boom. The introduction of rural development programmes and universal healthcare were extremely popular, but critics point to rigid rural-urban income disparities and ambiguous evidence on whether health standards have improved.
More positively, the high level of charitable giving points to civic involvement and community spirit, and satisfaction with the environment is high. Thailand’s warm climate helps improve overall life satisfaction, and reduces the cost of home heating and insulation.
Regional disparities in quality of life are exacerbated by Muslim secessionism in the south and drug-funded organised crime in the north. Thailand’s security forces have drawn criticism for infringing human rights in both areas. Despite high official employment figures, a large proportion of the approximately one million migrant workers from neighbouring countries are unregistered, who exist in a large black economy without equal legal protection. This may contribute to the pessimism about the ability to get ahead through hard work reported in the Gallup World Poll.
Progress has been made in lifting health standards but the scale of HIV infections -- approximately one million out of a population of 66 million, according to the Ministry of Health -- is impeding the rise in health-adjusted life expectancy. The government has recently responded robustly to the threat of HIV, with an extensive programme of anti-retroviral drugs, but social attitudes to contraception and to sufferers remain slow to change.