..... This seems incredibly regional and not something you can apply to the US as a whole This makes almost no sense for the PNW, for example
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It holds in large parts of the US, but not as much on the coasts. The country is big and diverse and of course things change regionally, but this is a pattern that has been making me scratch my head for some years
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"Eds and Meds", as we say in Pittsburgh. So many mid-sized municipalities in PA get their money from universities or hospitals, and Pittsburgh itself recovered from the steel industry collapse largely because of the strength of these sectors
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Or prisons
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Medicare structures payments to encourage regional hospitals. Here the regional hospital grew in the town that has a state college.
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