Why isn't Osama freezing his balls off in the mountains of Pakistan?

The Muslims living in the mountains of Pakistan are living exactly the way that Bin Laden wants them to live. No contact with westerners. No western style infrastructure. No plumbing, no central heating, no Sorel Pak boots. No polar fleece, no antibiotics. No orthopedic surgeons. No first aid kits. No bulldozers. No rebar. No building code regulations. No 911. From all accounts those people are totally fucked. Do you think that Bin Laden is sleeping on frozen ground in a wet tent?