Is it really true that there isn't a single McDonald's in Perm?
I don't believe it. It has spread its tentacles everywhere it possibly can.

Allow me to disagree. There are no McDonald's in our city, even though it's quite large and not that far from major federal cities. But there's probably a different problem here...
Unfortunately... or maybe fortunately... they seem to be starting to build one now...
In general, I support VDV. We also have what you might call "blini" places, where you can get a proper meal and be sure that they haven't put a bunch of chemicals in it. But overall, out of all the bars, restaurants, and cafes, I prefer pizzerias. It's amazing!))) ;)

Sanitary standards are also very high, and inspections happen quite often.
So, all that talk about low-quality food is complete nonsense.

You say that the sanitary conditions are good, but that's not true. A friend of mine had an experience: the guy who prepares the potatoes cut himself, and he just grabbed a ready-made package, put the potatoes in, and brought it to the counter... that's your sanitation... + I'm sure that many (if not all) of the girls working in these establishments have manicured nails (even though the rules say they should be wearing white coats, shoe covers, caps, and gloves) (I assure you, that's how it should be... I'm a future food processing specialist). And where there are nails, there's dirt, even if you think they're clean.