Well, depending how you define the sticks.. there are no Tops store but if there were, prices would likely be the same... same as to chain restaurants - though if you go into stick cities you will find some... and no, healthcare is not not even close to similar as usually there are just a series of small clinics, some good, some not.
first, it is not that there is nothing to do, just different things... it was never unusual to find 20 visiting family members hanging out, making a meal together, chatting. 2nd - if you want CM or Bkk style hanging out, you have to go there...