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But really who knows. Any time WY shows Snoop Dogg Smoke weed everyday Christmas shirt up in things like this I always take things with a grain of salt - population size has huge effects beyond just scaling things to "per capita" and those effects aren't always taken into account in reports like this.In the case of Appalachia at least, it has declined for decades. Drive through former coal country, and it's like the set of a dystopian TV series. Collapsed and abandoned buildings and homes everywhere, cars are all ancient and beat up, few modern amenities or services, and so on. It's like it was left behind in 1950.

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