In similar fashion, if I visited orphanages in China several years ago when they were under-resourced, the images of the quality of care that the kids were receiving back then sticks in my mind as reflective of the present.
But this is not the case. Sure, there are orphanages in China where the quality of care suffers, just as there are everywhere. However, on this trip, every orphanage facility we visited in China was either new or refurbished. More importantly, the child to caregiver ratio was low at each one. Generally speaking, these children were receiving holistic, nurturing care.
Of course, this still pales in comparison to the permanent love of a family, whether Chinese, American or European.