I grew up in the kind of place being discussed here. In my home county (Columbiana, in eastern Ohio), the population decline resulted in the closure of the OB/GYN units at the two main hospitals. Think about that, a county of about 100,000 people
doesn’t have a birth rate. To give birth in a medical center, they have to travel 30-45 minutes outside of the county.
My hometown used to have a handful of manufacturers, but those went out of business. One of the largest employers is a meat processing plant; not the most desirable place of employment (they struggled to get workers long before the pandemic) but for a while there was a substantial amount of undocumented workers. They paid taxes, rented homes which would have otherwise been vacant, but one of the locals called ICE and they were rounded up and deported.
https://www.cnn.com/2018/06/19/us/ic...ark/index.html The local politics don’t help - the lack of education usually results in the residents voting against their own interests. We’re talking about a place where people are delusional and think those long-gone manufacturers are ever coming back, and think a toxic waste incinerator is economic development. Crime from larger cities has made its way with meth labs and opioids, so the notion of the smaller towns being safe has gone out the window. And of course, the MAGA crowd still fly their flags from 2020, including five people from my graduating class who staunchly opposed vaccinations, guess how that went?
My parents are currently planning to leave my hometown to move closer, and like many people I grew up with, I no longer have any reason or inclination to return. It’s bittersweet as my hometown has a charming ‘main street’ business district and gorgeous historic homes, but honestly there’s nothing left there for me
I don’t see it crumbling to dust, but I definitely think it will continue to decline.