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You could do a graduate capstone course on why Evansville is so bad.
Air is heavily pollutioned by coal power planets, corruption in the local and state government, farming, and heavy metal industries.
The city is downstream from Pittsburgh on the Ohio River and it gets all its drinking water from the River and dumps its sewage back in the same river.
Ground Pollution is from the farming communities and more government corruption..
Crime / drug use comes from the low education rates, low wages, and declining population. Meth and Fentanyl is huge in Evansville.
The obesity comes from the lack of outdoor activities. Drinking until you pass out is the most common activity in the region. There are so many unhealthy restaurants in the city that add to it. The city has no walkability and is nothing but Stroads with no sidewalks. It's extremely cold in the winter and extremely hot in the summer also keeping people inside.
It really is the perfect example of a dying city.
We used to call it Midwasted. Spent most the time trying to figure out how to forget everything.