With that said I think the central premise of this article is mostly false. There are a lot of places in the US, typically at major interstate highway junctions, that look exactly like this.
What doesn't help is that the PA Turnpike is pretty stingy with its rest stops, especially in the western half of the state. Most states have rest stops at about a 30mi cadence, but you've got ~70mi from the last rest stop in PA to the OH border and closer to ~50mi cadence--assuming the rest stops aren't closed for reconstruction. So even those rest stops are pretty crowded, to the point where you can have the driver get in line for gas and everyone else go to the bathroom, wait in a line that stretches out the door, and still get back to the car before it reaches the pump.
This is one of only a handful of locations in the US where a highway travels along regular roads. I've heard though the state has finally approved funding for an interchange to be done by 2025 (last I heard).
As it is... it's just a somewhat incoherent conclusion. "It could only be Breezewood, because I say so". Ignoring the whole purpose of the meme.
https://en.wikipedia.org/wiki/Breezewood,_Pennsylvania#Unusu...