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How much of this is because of the rich vs. poor axis rather than the urban vs. rural one?

There's rich rural (think of the Hamptons, Tahoe, Marin/Napa Counties) and poor rural (Appalachia, Deep South, Central Valley), just like there's rich urban (lower Manhattan, Pac Heights, wealthy areas of Taipei/Shanghai/Tokyo etc.) and poor urban (the Tenderloin, the Bronx, much of Baltimore or Detroit). I never see things like trash left out, drug use, etc. in rich rural areas, and it's usually a 5 minute walk to an organic food market. Conversely, I see trash, shit, junkies, mentally ill people, random stabbings, and so on all the time in the Tenderloin. While there may be some correlation between poverty and rural areas, it seems like poverty is a much bigger cause of various social ills.

Poverty is undoubtedly the cause in most cases, but not all. It’s worth noting that even among farmers who deal in $100,000s, the addiction and suicide rates are still abysmal because their lifestyle and environment are so unfavorable.

Also, and while it’s probably controversial to say, I don’t think poverty in the inner city is anywhere near as hard to overcome. First and foremost, you have access to numerous social services and charities that don’t exist in rural settings. You can also literally just take a bus out of any urban ghetto every day and lead any kind of life you want. If you’re stuck in a trailer park surrounded by hell, for lack of a better description, you’re completely and totally fucked — especially if you’re a minor.

>(And if it's sadness or fear or anxiety, expect to have everyone suggest spurious religious interpretations instead of physical explanations, which, honestly, as a devout Christian, I now find really damaging both to peoples mental and spiritual health.)

Yep, I've seen this with Christians: "you have mental problems because you have demons in you!" This kind of thinking is extremely common in rural America these days.

>If you aren't lucky, you may even need your own well.

Wells are pretty expensive. Sure, the water itself is free, but the electricity to run the pump is not, and even at the frequently cheaper electric rates that rural areas enjoy, it adds up.

>You'll also have to burn trash or contract a company to come take it.

When I was growing up in rural areas, the common thing was to save it all up and haul it to the dump yourself every week or so.

All in all, you make a lot of excellent points that remind me a lot of the time I've spent in rural areas.

"Wells are pretty expensive. Sure, the water itself is free, but the electricity to run the pump is not, and even at the frequently cheaper electric rates that rural areas enjoy, it adds up."

Having had wells... The electricity isn't the least of it. These things require regular servicing. Hopefully, you aren't unlucky enough to have it back up... which happened to my mother soon after moving into a newly purchased home. You need to watch the toilet paper you use because some are better than others.

Not to mention the need for a water softener in some areas. I've lived in areas whose water smelled of rotten eggs. This same water would turn hair and white clothing and everything else an orange shade.

>Having had wells... The electricity isn't the least of it. These things require regular servicing. Hopefully, you aren't unlucky enough to have it back up... which happened to my mother soon after moving into a newly purchased home. You need to watch the toilet paper you use because some are better than others.

You're confusing wells with septic systems. Wells are where you get water (you pump it out of the ground), septic systems are how you dispose of wastewater (basically by dumping it into the ground in a concrete tank, from which it then percolates into pipes with holes in a "septic field").

You're right, septic systems can be a maintenance nightmare.

>Not to mention the need for a water softener in some areas. I've lived in areas whose water smelled of rotten eggs.

Yep, this is the other problem with well water: it frequently has sulfur in it, and is really nasty.

> Daily life is /very/ stressful. [...] Want a pizza delivered? Nope. Chinese? Hahah.

uh. if that constitutes stressful, how do you survive receiving bad personal news?

First world problems...

"What do you mean I can't Uber eats here?! How do people even eat?"

But seriously, when there are literally only 2 places to go out to eat to, they likely close early and aren't great to begin with. Thank god for Sheetz.

Ok, ok, since you want to be horsey: ambulances take 50-60 minutes to arrive (pregnant? heart disease? prepare to feel third world terror), the police can’t realistically save you from any kind of violent altercation or crime and no one else will see it happen, there’s no public transportation and you can’t walk to town—so you’re stranded on a desert island if your car ever breaks down. There’s also a constant threat of things like venomous snakes and predators, so expect your chihuahua to get eaten if he walks out at night (happened not once but twice to my next door neighbors). The list of stressful bullshit goes on and on.

Many people in rural areas have medivac insurance so they can be airlifted in a serious emergency. I believe it used to cost us around $100 a year.

And let's be real, the cops don't show up during a crime in the city either.

No, let's be real, the cops show up in cities pretty reliably. The drawback is that sometimes they do good for the situation, while a third of the time they end up shooting someone.

Interesting you mention medivac insurance -- I spent a number of years in a very small town in rural west Texas and I've never heard of that. Numerous times I heard of the race to get someone to one of the towns with a hospital 45 minutes away, though, maybe several times a year.

Maybe it's not at as widespread as you think, or somehow this town of about a thousand people (with one gas station, one restaurant open part time, and no grocery stores) entirely missed out on the existence of something that'd probably have saved lives.

The other thing about hospitals is that, in a place like that, the nearest hospital is probably in the closest small city, but that hospital is staffed with incompetent doctors because who wants to work in a place like that? So if you have a real emergency, you want to go to a good hospital in a larger city, but that's much farther away.

That's a very short sighted opinion. There are plenty of very intelligent doctors that love to live in the countryside.

Due to the sheer larger numbers in urban areas, I'm sure you are likely to have the best of the best in cities, but everyone can't be treated by the top 1% of doctors.

No, it's not shortsighted at all. There aren't enough highly competent doctors to go around and staff all the rural hospitals. My mom lives in a smallish town (and it's at least a college town) with a hospital right down the street, and constantly has to travel to the nearest city for medical issues because the hospital doesn't have any decent doctors and all the specialists are in the city.

> You can't exercise, because dogs don't just bark but also chase you, and no one cares or thinks you're the asshole for complaining because you're in the country.

Even if your neighbor or neighbors have well-trained or well-controlled dogs, you have to worry about wild animals more than you do in urban areas. I'm not talking about predators as much as prey: A mountain lion is scary, but most of them pretty well leave humans alone. A buck deer in rut is big and deer in general are just really, amazingly stupid.

Plus... there's nowhere to walk to unless you really like seeing not only scenery, but the same scenery, over and over again, unless you spend more money to drive someplace with noticeably different scenery. (Rural areas are big. You can drive for days without seeing noticeably different scenery.)

> Depression, drug use, and other adverse coping strategies are literally epidemic -- my entire neighborhood of stable working adults where I grew up all ended up on some combination of meth/oxycontin/xanax/antidepressants with alcohol use in excess of anything I ever see at 2 am throughout the nightlife districts of a top 10 US city.

Another reason to stay in your home or stick to a small group of friends with no real ability to branch out. Want another friend? OK, pick the person with whom you have no common interests, the other person you have nothing in common with but this person's an alcoholic, or the person who moved there and obviously left the big town for a reason you'll hear about in gossip which will make you very happy you didn't interact with them.

> Oh, do you think you might need to get actual mental help?

Have fun driving hours to and from the next big town in all kinds of dangerously crappy weather!

> Any "green space" consists of trespassing behind barbed wire instead of a neatly maintained park.

Yes. This is something which needs to be mentioned more often: Cities have more public spaces than rural areas, because in rural areas, land is being used. You can't just wander into a wheat field or a cattle ranch. You could be arrested. National Parks are wonderful, but most rural areas aren't parkland, and most rural areas aren't even close to parkland. BLM land is by no means even close to being the same thing.

Some European countries have "freedom to roam" laws, but they're also more dense than rural North America, so most of those countries don't have "rural" to begin with, by and large.

One clarification here that fills me with a mixture of disgust and heartbreak:

"in rural areas, land is being used" -- it's more that, in rural areas, land is being owned. Not necessarily used. I lived in an extremely rural area for several years and was surrounded by fenced-off land that nobody used because some rich doctor somewhere owned it. You couldn't hike on it, couldn't camp on it, certainly no one else could use it. What a shitty system.

And yes, I recognize that the system that permits some out-of-state doctor to "own" thousands of acres is the same one that would permit me to some day, and I don't give a shit; I'd rather structure the world in such a way that nobody could fence it off like that. Maybe as small a tweak as a 'right to roam' law in America.

This must be a US rural view (and indeed sounds like crap); I have lived in rural areas most of my life in different countries, currently deep in the mountains of Spain and these things are really not a concern. I have lived for a few years in large, dense cities in different countries as well, latest being HK.

Sure you cannot ‘order a pizza’ or anything else in this countryside (sometimes someone new moves in a few km down on another mountain who starts out delivering something, like pizza, but gives up pretty quickly), I can bake one in my homemade woodoven though, with friends who I met here and sound very different from the ones you met over there too.

If dogs attack you, they are not removed over there? They are here which is why that hardly ever happens. There have been none such incidents here for many years.

Radio beamed internet (point to point) is cheap and streams Netflix, Video conferencing etc fine and now everywhere is cheap unlimited 4g, so I can hike in the forest and take a rest with a funny cat video.

Water and electra are cheap and enough space to put solar for hot water and electric: waste is collected at waste points.

The only thing is that the ambulance comes late indeed, but you can have a chopper (for free) and the healthcare is excellent here (and free); but I would imagine a solid heartattack would kill me here, but it does so in most places, just here it is more sure. But in return for that I have clean air, a ton of space, and, opposite of your experience, far less stress; it is Spain, nothing is in a hurry here which is great once you accept it. Probably will save you a few strokes in the end. Everything is cheap over here as well, my neighbors live of 500 euros a month, something that can be picked up doing a few hours per month of coding for a city client while sitting in the garden.

The thrash also rings no bells and mobile homes are not normal (or even allowed long term), cars have to pay road tax even if they cannot drive until they are scrapped at an official scrapyard, so people have them destroyed etc.

I guess this really depends on the country; things like rural HK, Shanghai, Thailand (ChiangMai), France, Germany or the parts of rural Australia or New Zealand I have been for longer stretches are also not as you describe at all.

Also, a lot of people, including me, who grew up in rural areas, hate them after they leave for university etc but later in life start to long for them again in my experience.

Having lived in a small town surrounded by rural area for a bit:

> You can't exercise, because dogs don't just bark but also chase you, and no one cares or thinks you're the asshole for complaining because you're in the country.

This is literally what pepper spray and similar is intended for. Don't go cycling without it! You have to look out for yourself if you're in the middle of nowhere. Not willing to do that? Then don't live or do things there. Idiot dog owners are everywhere, but a pack of farm dogs is no joke when the nearest person is more than a mile away.

Pepper spray (hell, even max strength bear spray with tear gas) wasn’t anywhere near enough. You don’t have enough range for it to start working in time when they’re charging at you, at least not unless it’s one of those crazy kinds that shoots like 20 feet, and if you aim poorly it’s over.

The smart people who were crazy enough to walk or jog regularly carried 5+ foot ugly sticks (or spears/lances) and/or a firearm.

I almost had a 65 lb mastiff make it through the window of my dad’s lifted F350 at cruising speed, and that was the third attack in a one mile stretch. That was the day I decided I wasn’t ever going on foot again.

> and that was the third attack in a one mile stretch

Wow. Where was this?! I'm accustomed to clueless pet owners but that's just ridiculous. Cycling regularly, I recall ~4 run-ins over as many years (compared to none in urban or suburban areas ever).

I suppose I'd graduate to rubber bullets or even bird shot if it was that bad, but at some point it's really up to the authorities to ensure some minimal level of public safety. What is animal control even for if they don't fix things like this? It sounds like you were located in a terribly run county.

>It sounds like you were located in a terribly run county.

That describes most rural counties in America.

So don't leave the city if rural areas suck so bad.