Actually, they do care. I had a nice chat with a Niantic employee about it last weekend. They were asking for ideas on how to better serve those countries that are under served. If you have ideas, i can try to forward them. Remember, ideas are always better than unspecific complaints.
It’s very much what we call a chicken and egg situation in Western culture - which comes first? The players who can add wayspots or the wayspots so people can play?
I see it in lower income areas around my city. I have no idea if adding wayspots will result in more players. But we are making the attempt as best we can.
This often does become an issue based on economic resources, unfortunately. The areas with more resources invest those in community projects that then qualify to be wayspots. Areas that don’t have resources, don’t have parks or public art or developed public spaces.