Not much of a choice there, is it?

All the money's in the western part of the state, and people make sure it stays there.

poor hopeless people will do what they can to get by, when that fails they try to numb the pain and then finally end the pain.

ten, too bad Letterman is not around any longer.

something to do with the disability suicides. Sometimes there are many pieces to the puzzle, people do what they have to do to survive.