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Oh man, having grown up in a small town (one stop light, baby!):
Be visibly neurodivergent
Be visibly gender nonconforming
Not have worry about someone at the doctor's office/hospital who knows your family breaking HIPAA
Be able to just be an anonymous person in public, and not Jody-Anne's cousin's kid
To not be reliant on owning a car
It's bad enough dealing with crippling depression in a small town, where everyone's going to tell you that A: your condition is a moral failure rather than an illness with physiological underpinnings, B: religion is the answer to your condition, C: (for males, anyway) your condition makes you weak and effeminate, or D: a combination of the above or more likely all of them. Adding those things on top of it is a recipe for suicide.
Don't forget that if you're not in the in-group, people will try to drive you out of the area. I've lived in small towns most of my life, and while there's exceptions it's still common.
And this isn't even race based. Just not being related to one (or more) of the main 3-4 families in town will get you on the shit list, especially if you're not from the area. Going to a different church than the one in town will do it too
You've heard this right?
https://piped.video/BzoVLDdHwW4