My cousin is raising 2 kids in a major urban center. Discussions of what pre-K they needed to prepare for starts around the time they are able to independently walk. Social calanders are decided weeks in advance. Play dates are heavily documented on social media and 'bucket-lists' of rites of passage such as photo session at a historical landmark, baseball stadium, etc are turned into holiday cards. My cousin might be an outlier, she is an incredibly driven business woman who juggles a full time lucrative career with family life, but I can't imagine her lifestyle is worth the stress. As far as I can remember the kids have always been dressed in coordinated outfits, hats, vests, capes, etc.
She is definitely a loving mother and cares the worlds for her kids, but I feel incredibly uneasy if this becomes the new norm for kids to succeed in our society.
This is not objective but my brother in law's extended family lives in the suburbs far from a much smaller metro area, spend their time primarily outdoors lightly supervised, and to me are far more confident, articulate, and fun kids.