Almost the only people doing well in rural America are those with generational wealth. I know plenty of people from my small hometown that have been doing okay with their farms. One of them has a gravel business. Those without such luck are either moving to a bigger city or experiencing a declining quality of life, and they're coping with drugs, meth mostly. I can't imagine what that would be like in areas that haven…
This is true and is hardly limited to the Old South. Rural Upstate New York is effectively in the same boat. Frankly I think trying to develop rural America to be economically competitive to urban America is a bad idea wrapped in the cloak of a well-meaning idea. Infrastructure and services and much (like 2-5x) more expensive over a wide area. And you need a LOT of infrastrucute to reasonably support a professional c…
Smaller non-coastal cities retain, in the mind of the typical rural midwesterner, a reputation for high crime and violent racial unrest (among those old enough to remember the 60s and 70s, anyway). The former especially isn't entirely undeserved. And anyway, even those are shockingly expensive by rural standards, unless you want to live in the very worst parts of the city where the concerns of high crime and terrible, dangerous schools are especially valid.
To say that moving to the city, for most values of "the city", isn't broadly appealing to the rural set, is accurate.