For people who haven't dealt with Breezewood traffic, it can mean sitting in the right lane of the Pennsylvania Turnpike for a mile of stop-and-go traffic (while the left lane is going 60mph!) and spending an hour to actually make it the short gap to get back onto I-70. Trying to cross US-30 to hit your favorite establishment is not worth it--if it's not on the right side of the road, don't bother.

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.