My experience:

So many rats I accidentally kicked one while casually walking once. You see them literally everywhere.

In Manhattan regularly you walk around huge mountains of stinking garbage bags.

Constant noise

$16/gallon for organic milk at the grocery store

Streets with pot holes absolutely everywhere

Many subway stations that feel like you’re descending into a medieval dungeon. As you wait for the train you get to look at the track bed covered in mold, slime, and scurrying mice.

Actually clinically insane people laughing and talking to themselves everywhere, you get to be right next to them all the time (guess we didn’t need those clinics we shut down?)

I am so thankful every day that I got out of there.