I live in a small hick town yet oddly enough kind of bicycle friendly. My main commute roads have nice bike lanes or nice wide shoulders and several of the interssections have a bike lane that goes up the middle, so if your gonna go straight or left its real easy. But you still have to be careful.
On some intersections I do filter up on the right then swing over to the crosswalk signal, hit that and wait my turn
During early morning commute hours (7-9am) and afternoon ( 4-6) I do take extra caution. I use extreme caution on Fridays during beer-thirty hours

I will add that even if it is my small town, it is growing, we have a branch community college and last year just opened a teaching hospital. So this town will grow. But the planners are really thinking about the future and bicycles, as all new roads are being built very bicycle friendly...not bad for a logging town