Personally, since I live in a country where everything economics-wise is a mess, where even with the high costs for gaming (a brand new sealed 3ds game being almost double of what anyone would make in a month here), or buying used games still for more than the monthly income. Where nintendo doesn't have (afaik) it's own first party way of exporting titles here and buyers end up getting whatever the retailers/people with actual access to $ bring overseas... You're not really left with much choices. I do not personally care about piracy because if i can buy the games i want to play and can actually get them without much hassle or paying an eye of my face for it, i most cerrainly would.
Before the 3ds extravaganza of 9.2 hacks arrived i got my first o3ds, fw was 9.2, updated to 9.4 to get the KH3D demo of the eshop and turns out 9.2 became the norm for hacking after 4.5. Wanted to shoot myself in the foot. Anyway, i had no problem buying KH3D of a friends since it was at a reasonable price and it's my favourite franchise from all times. Now that both my 3ds's are hacked i keep a backup as a cia as well as the original, archived cartridge.
Principal problem, not much games reach over from the states, only the most well known, and/or kid's like that would sell like hotcakes because of children demanding their parents the new mario kart series. So let's say i wanted to play something not overly so popular like PersonaQ? SoL. Maybe something like Cave Story? SoL. As is with most of the rest of the games that aren't first party.
If i ever get out of my country i have no problem whatsoever having modded consoles as well as legit games to support the developers. But only if i can actually get the games i want.
And no, venezuela's eshop is absolutely empty and setting the NNID region to venezuela is fucking myself, setting it to US works, but $ are only sold at the black market and or heavily controlled by the goverment. Getting them is no easy task.